Spillage of stones from the gallbladder during laparoscopic cholecystectomy and complication of a retroperitoneal abscess mimicking gluteal abscess in elderly patients.
Gallbladder perforation during laparoscopic cholecystectomy with spillage of bile and gallstones occurs in a substantial percentage of patients (up to 40%). We report the case of a 77-year-old woman who presented with fever of unknown etiology and a complication of retroperitoneal abscess mimicking a gluteal abscess with gallstones and clips the abscess. Spillage of gallstones from perforation of the gallbladder is a well-recognized complication of laparascopic cholecystectomy, especially several months after the initial surgery, as in the reported case.
Dashkovsky
I
I
Department of Surgery, Sieff Government Hospital, Safed, Israel. drigor@matav.netnet.il
Cozacov
J C
JC
D000038:Abscess / Q000209:etiology*; D000368:Aged; D002081:Buttocks / Q000382:microbiology; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D006801:Humans; D008826:Microbial Sensitivity Tests; D010532:Peritoneal Diseases / Q000209:etiology* / Q000382:microbiology; D011183:Postoperative Complications / Q000209:etiology*; D012187:Retroperitoneal Space / Q000473:pathology