PMID: 9174862Jan 1, 1997Paper

"Gallstone hip" and other sequelae of retained gallstones

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
P T ChinJ P Percy

Abstract

The fate of gallstones spilled during laparoscopic cholecystostomy has been thought to be relatively benign. Recent experience and a review of the recent literature shows that this is not always the case. We report three cases of complications of retained stones and analyse the literature with regard to types of complications, time to presentation, and recommendations for managing spilled gallstones. Retained gallstones have been shown to cause adhesions in the rat and inflammatory reactions in dogs with no evidence of absorption. The average time to presentation of complications arising from retained gallstones is 27.3 weeks. Complications include: Intraabdominal abscess formation with or without abdominal wall sinus tract formation, persisting abdominal wall sinus tracts from port site abscess, subhepatic inflammatory masses, cholelithoptysis, microabscesses and granuloma formation, liver abscess and "dumbell" shaped abscess with one side of the "dumbell" forming a subcutaneous abscess. We recommend the judicious use of retrieval devices during the extraction phase of the laparoscopic cholecystectomy, diligent removal of any spilled stones and awareness of delayed postoperative pain and tenderness as a harbinger of symptomati...Continue Reading

Citations

May 22, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdelkader HawasliIrina Goncharova
Oct 16, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·E G Ong, R M Watkins
Jan 25, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Pradeep K ChowbeyManish Baijal
Feb 2, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·C FamulariA L Giuseppe
Aug 24, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·James M Nottingham
Jan 1, 2009·BMJ Case Reports·Julian MaempelAlek Uzkalnis
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·P HazrahH S Shukla
Jun 9, 2015·ACS Applied Materials & Interfaces·Huawei ChenZhiwu Han
Mar 11, 2000·The Australian and New Zealand Journal of Surgery·S E TranterD P Berry
Aug 17, 2000·The Australian and New Zealand Journal of Surgery·D D MarucciC J Martin
Aug 16, 2014·BMJ Case Reports·Richard S GasterGordon K Lee
Jun 4, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Azadeh Jabbari NooghabiAli Jangjoo
Jun 29, 2001·Journal of Thoracic Imaging·R DeVincenzoP J Klapper
Jul 18, 2018·Case Reports in Orthopedics·Vineet TyagiKristaps J Keggi

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