Fernández SLT, Díaz CJM, Loys FJL

Language: Spanish
References: 12
Page: 196-200
PDF size: 159.32 Kb.

ABSTRACT

The biliary effusion and stones falling into the abdominal cavity is a minor complication of laparoscopic cholecystectomy. However, it may be associated to severe postoperative complications if the cavity is not washed and the stones are not removed in a proper way. This is a female patient who underwent laparoscopic cholecystectomy for gallstones, and this time it was decided to resort to open surgery after the falling of stones into the abdominal cavity. In the postoperative phase, she suffered wound infection and cutaneous fistula, with the stones coming out of the surgical wound. Four years after the initial intervention, she presented with fever and back pain. Psoas abscess was then diagnosed; the cause was the presence of gallstones that migrated to that site. He was operated on and abscess drainage was performed through posterior approach. Her subsequent progress was satisfactory. This type of complications necessarily requires the complete removal of all the stones falling into a cavity during laparoscopic cholecystectomies.

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