Abstract
Laparoscopic cholecystectomy is a widely used treatment method for most cholelithiasis and is a relatively safe procedure. Foreign body granulomatous reaction to bile or gallstone spillage during laparoscopic cholecystectomy has rarely been reported. We report a case of bile granuloma after laparoscopic cholecystectomy, which mimicked peritoneal seeding. A 59-year-old Korean man presented with right upper quadrant pain. He underwent laparoscopic cholecystectomy for acute cholecystitis with cholelithiasis. Pathologic examination revealed an incidental adenocarcinoma invading the lamina propria with acute cholecystitis and cholelithiasis. After 3 months, follow-up abdominal computed tomography revealed a subhepatic nodule, which showed hypermetabolism on positron emission tomography-computed tomography. Suspecting localized peritoneal seeding, wedge resection of the liver, wedge resection of the transverse colon, and omentectomy were performed. Pathologic examination of the resected specimens revealed multiple bile granulomas. Awareness of bile granuloma mimicking malignancy is noteworthy for patient management to reduce unnecessary procedure during postoperative surveillance.
References
Nov 30, 2000·Obstetrics and Gynecology·S H MerchantG B Gordon
Dec 26, 2006·American Journal of Surgery·Jörg ZehetnerWolfgang Wayand
Feb 8, 2007·Surgical Endoscopy·A CalikB Piskin
Jun 4, 2008·American Journal of Surgery·Ali EzerMehmet Haberal
May 5, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sang Won KimHyun-Deuk Cho
Jun 3, 2011·International Journal of Surgical Pathology·Gerard McVeighW Glenn McCluggage
Jun 17, 2011·International Surgery·M R S SiddiquiF Hasan
Jan 16, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Giuseppe FamularoLaura Gasbarrone
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Abdolreza PazoukiMehdi Jabbari Nooghabi
Jun 1, 2013·European Journal of Pediatric Surgery Reports·Derya ErdoğanGürses Sahin
May 1, 2013·Korean Journal of Hepato-biliary-pancreatic Surgery·Whanbong Lee, Jungnam Kwon
May 10, 2016·World Journal of Gastroenterology : WJG·Bum-Soo KimHyun-Cheol Kim
Dec 29, 2016·Open Access Macedonian Journal of Medical Sciences·Miodrag RadunovicMiroslav Radunovic
Jan 16, 2018·Case Reports in Pathology·David A Suarez-ZamoraMauricio A Palau-Lazaro