"The stones...to rise".
Late complications of laparoscopic cholecystectomy are less addressed. Spillage of stone during laparoscopic cholecystectomy is a recognized complication. However, late sequelae of spillage of stones are less clear. We report a case of late and recurrent subphrenic abscess following laparoscopic cholecystectomy. This was a 65-year-old gentleman who underwent laparoscopic cholecystectomy in 1991. He presented 3 years and even 10 years after the operation with subphrenic abscess. Interesting CT scan findings are described. Surgical open drainage is recommended as opposed to percutaneous drainage. Emphasis is given to take precautions to avoid spillage of stones. We feel that this is the first case of a complication of laparoscopic cholecystectomy presenting so late and as a recurrent problem.
Bandyopadhyay
D
D
Department of Surgery, Airedale General Hospital, West Yorkshire, UK. DibyenduAditi@aol.com
Kapadia
C R
CR
Blake
S G
SG
D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010533:Peritoneal Lavage / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D013369:Subphrenic Abscess / Q000209:etiology / Q000601:surgery; D013396:Suction / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods