Middle colic artery thrombosis as a result of retained intraperitoneal gallstone after laparoscopic cholecystectomy.
Spilled gallstones during laparoscopic cholecystectomy are associated with a number of complications such as infection, abscess, inflammation, adhesions, cutaneous sinuses, small bowel obstruction, incarcerated hernia, and generalized septicemia. We report a case of a patient with middle colic vessel erosion and thrombosis secondary to a retained gallstone following laparoscopic cholecystectomy 11 years ago. At operation, the patient was found to have a necrotic transverse colon with a large 2 cm gallstone compressing her middle colic vessels. An extended right hemicolectomy was performed with a primary anastomosis. The importance of stone retrieval during laparoscopic cholecystectomy is emphasized.
Michigan State University College of Human Medicine, USA. rannie.alsamkari@ht.msu.edu
Rannie
R
AlSamkari
Moustafa
M
Hassan
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery; D003082:Colectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery*; D007813:Laparotomy / Q000379:methods; D017538:Mesenteric Artery, Superior; D018570:Risk Assessment; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome