Gallstone-induced inflammatory fibrosis: a relentless clinical course of retained gallstones after laparoscopic cholecystectomy.
Multiple reports in the literature confirm that retained gallstones spilled during laparoscopic cholecystectomy perpetuate chronic inflammation and suppuration long after the initial operation. Two patients who had previously undergone laparoscopic cholecystectomy presented to our institution with complications of retained stones. Patient 1 presented with right upper quadrant pain and a mass involving the right hepatic lobe. Patient 2 presented with a draining right flank abscess. Both underwent exploratory laparotomy at which time multiple abscess cavities were found, many of which contained retained gallstones. Patient 1 required reoperation for recurrent abscesses 7 months after the initial procedure and has been disease free for 6 months. Patient 2 had abscess recurrence that required percutaneous drainage 1 year after the original procedure and has not had recurrence for 4 years.
Heestand
Gregory
G
Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California, USA.
Morrison
Bryant
B
Correa
Adrian
A
Palmer
Suzanne
S
Mateo
Rod
R
Hagen
Jeffrey
J
Genyk
Yuri
Y
Selby
Rick
R
Sher
Linda
L