title: Intrapulmonary gallstone.
abstract: An octogenarian presented to her primary care physician with hemoptysis and a disabling chronic cough that developed several months after a complicated partial cholecystectomy. During investigation, a biopsy sample showed a right lower lobe inflammatory mass containing bile pigment and abundant neutrophils. Thoracotomy performed approximately 18 months after symptom onset confirmed a right lower lobe lung abscess together with a large gallstone embedded at its center and a healed defect in the right hemidiaphragm. A wedge excision of this mass was performed. The patient made an excellent uncomplicated recovery from this rare complication of a gallbladder operation.
authors.affiliation: The Freeman Hospital, High Heaton, Newcastle upon Tyne, United Kingdom. Electronic address: r.o.jones@doctors.org.uk.
authors.forename: Richard O
authors.initials: RO
authors.lastname: Jones
authors.affiliation: Medical School, Newcastle University, Newcastle upon Tyne, United Kingdom.
authors.forename: Grant D
authors.initials: GD
authors.lastname: Turnbull
authors.affiliation: The Freeman Hospital, High Heaton, Newcastle upon Tyne, United Kingdom.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Forty
mesh_terms: D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery*; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D011859:Radiography; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013908:Thoracotomy / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome