Late reoperation for retained gallstone after laparoscopic cholecystectomy.

Published

Journal Article

Complications due to retained gallstones after a laparoscopic cholecystectomy occur in 1.7 per 1000 cases. Significant delay to definitive diagnosis and treatment is common due to late presentation and nonspecific symptoms. Despite the low frequency, complications due to retained gallstones may be serious, including abscess and fistula formation. In the present case, we discuss the removal of abdominal wall and peritoneal stones 8 months after the original laparoscopic cholecystectomy. The case illustrates that complications may arise months to years after the original procedure and requires a high degree of clinical suspicion for expeditious diagnosis. Ultrasound is a sensitive and specific test to identify retained stones. Laparoscopic retrieval is recommended upon identification of intraperitoneal stones within this timeline.

Full Text

Duke Authors

Cited Authors

  • Carmichael, SP; Zwischenberger, BA; Bernard, AC

Published Date

  • February 2014

Published In

Volume / Issue

  • 24 / 1

Start / End Page

  • e27 - e28

PubMed ID

  • 24487171

Pubmed Central ID

  • 24487171

Electronic International Standard Serial Number (EISSN)

  • 1534-4908

Digital Object Identifier (DOI)

  • 10.1097/SLE.0b013e31828f70ca

Language

  • eng

Conference Location

  • United States