title: The last place you would expect to find a gallstone.
abstract: The increasing use of laparoscopic cholecystectomy has led to an increased frequency of gallbladder perforation and subsequent gallstone spillage in the abdominal cavity. Occasionally unretrieved gallstones can cause infection, adhesions, and obstruction. Furthermore, spilt stones can cause erosion into adjacent organs and can migrate to distant sites, causing a variety of complications. We report the unusual case of a patient who presented with spontaneous erosion of gallstones through Grynfeltt's triangle, 1 year after laparoscopic cholecystectomy and review the current literature.
authors: 1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece.
authors: Apostolos V
authors: AV
authors: Pappas
authors: Emmanuel E
authors: EE
authors: Lagoudianakis
authors: Dimitrios
authors: D
authors: Keramidaris
authors: Nikolaos E
authors: NE
authors: Koronakis
authors: Ioannis D
authors: ID
authors: Chrysikos
authors: Ilias D
authors: ID
authors: Koukoutsis
authors: George
authors: G
authors: Karanikas
authors: Andreas J
authors: AJ
authors: Manouras
authors: Vaggelogiannis
authors: V
authors: Katergiannakis
mesh_terms: D000038:Abscess / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D041761:Cholecystolithiasis / Q000601:surgery*; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery*; D005704:Gallbladder / Q000293:injuries; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D050151:Subcutaneous Fat / Q000000981:diagnostic imaging