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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957

Abstract

PEREZ, Juan Manuel et al. Imaging Findings of Stones Left in the Abdominal Cavity Following Laparascopic Cholecystectomy: A Series of Seven Cases and Literature Review. Rev Col Gastroenterol [online]. 2017, vol.32, n.3, pp.274-282. ISSN 0120-9957.  http://dx.doi.org/10.22516/25007440.159.

Laparascopic cholecystectomy (LC) is the current surgical technique of choice for the treatment of symptomatic cholelithiasis. However, this procedure leads to certain complications, of which we highlight gallbladder perforation with the subsequent spillage of stones and bile into the peritoneal cavity, which may give rise to the formation of abdominal abscesses some time after the surgery.

For this reason, abandoned gallstones should be recognized as a potential source of intra-abdominal inflammatory processes, especially when there is a history of gallbladder perforation during the procedure, or in cases of conversion to open cholecystectomy and spillage of gallstones into the peritoneal cavity. Both radiologists as well as surgeons should be familiar with the imaging findings of the various diagnostic modalities such as ultrasound, CT and magnetic resonance imaging, as well as the various clinical manifestations that can present.

In this publication we present 7 cases of patients with a history of laparascopic cholecystectomy who presented to our hospital´s ER with abdominal pain and in whom the imaging findings showed the presence of perihepatic collections caused by spilled stones.

Keywords : Cholecystectomy; gallstone; cholecystitis; dropped gallstone.

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