Gallstone-related abdominal cystic mass presenting 6 years after laparoscopic cholecystectomy: A case report.

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Gallstone-related abdominal cystic mass presenting 6 years after laparoscopic cholecystectomy: A case report.

Int J Surg Case Rep. 2017 Feb 11;32:70-72

Authors: Faour R, Sultan D, Houry R, Faour M, Ghazal A

Abstract
INTRODUCTION: Although gallbladder perforation and gallstones spillage are common complications during laparoscopic cholecystectomy (LC), clinically significant complications resulting from stones left in the peritoneum are extremely uncommon. We report a rare case of spilled gallstones complication with a late and uncharacteristic presentation.
PRESENTATION OF THE CASE: A 44-year-old Caucasian female presented with a complaint of a mass in the right upper quadrant associated with a cramping pain for the last 6 months. Her past surgical history included a laparoscopic cholecystectomy performed six years ago. Abdominal computed tomography demonstrated an intra-abdominal cystic mass. On open exploration, a cystic mass adhered to the abdominal wall was excised containing two gallstones. The patient tolerated the procedure well and had uneventful postoperative recovery.
DISCUSSION: Although unretrieved gallstones are considered harmless, serious complications can occur early or late. The most frequent complication is the formation of abscesses in different locations.
CONCLUSION: The diagnosis of gallstone abscess after years of LC is usually a diagnostic challenge. Obtaining a comprehensive past surgical history still plays an important role in the assessment of patients presenting with unusual findings.

PMID: 28257913 [PubMed - as supplied by publisher]

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