title: [Digestive complications of biliary gallstone lost during laparoscopic cholecystectomy].
abstract: A patient was admitted because of an intestinal obstruction. Eight years before, he underwent a laparoscopic cholecystectomy. Abdominal ultrasonography and small bowel series showed a gallstone in the small bowel that computed tomography scan failed to identify. Laparotomy showed a Meckel's diverticula and a biliary stone in the terminal ileum. In the literature, it has been shown that gallstone lost during laparoscopic cholecystectomy may be responsible for intraperitoneal abscess. In the contact of intestine, the stone may induce an obstructive abscess, a communicating abscess, a digestive fistula or a biliary ileus. During the postoperative course of laparoscopic cholecystectomy, these patients suffer from abdominal pain and fever lasting from few days to several months. Imaging shows the biliary gallstone mechanical complications induced by the stone. To avoid such complications, biliary gallstone that falls into the peritoneum during laparoscopic cholecystectomy should be removed under laparoscopy.
authors.affiliation: Service de Chirurgie Viscérale et Thoracique, Hôpital Robert Ballanger, 93602 Aulnay-sous-Bois, France.
authors.forename: Elias
authors.initials: E
authors.lastname: Habib
authors.forename: Ramez
authors.initials: R
authors.lastname: Khoury
authors.forename: André
authors.initials: A
authors.lastname: Elhadad
authors.forename: Françoise
authors.initials: F
authors.lastname: Jarno
authors.forename: Thierno
authors.initials: T
authors.lastname: Diallo
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome