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Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy

BACKGROUND: Spillage of gallstones within the subcutaneous tissue during laparoscopic cholecystecomy may lead to considerable morbidity. METHODS: We describe an abdominal wall abscess formation in a 50-year-old female that developed 24 months after a laparoscopic cholecystectomy. RESULTS: Spilled ga...

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Detalles Bibliográficos
Autores principales: Hand, Andy A., Self, Michael L., Dunn, Ernest
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015681/
https://www.ncbi.nlm.nih.gov/pubmed/16709372
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author Hand, Andy A.
Self, Michael L.
Dunn, Ernest
author_facet Hand, Andy A.
Self, Michael L.
Dunn, Ernest
author_sort Hand, Andy A.
collection PubMed
description BACKGROUND: Spillage of gallstones within the subcutaneous tissue during laparoscopic cholecystecomy may lead to considerable morbidity. METHODS: We describe an abdominal wall abscess formation in a 50-year-old female that developed 24 months after a laparoscopic cholecystectomy. RESULTS: Spilled gallstones at the umbilical port site went undetected. Subsequently, an umbilical port-site abscess formed and was treated 2 years later. CONCLUSION: Any patient with a foreign body in the subcutaneous tissues after a laparoscopic cholecystectomy should be considered to have a retained stone. Use careful dissection, copious irrigation, and a retrieval device to avoid stone spillage. If spillage does occurs, percutaneous drainage and antibiotics followed by open retrieval of the stones should achieve adequate results during those delayed presentations of abdominal wall abscesses.
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spelling pubmed-30156812011-02-17 Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy Hand, Andy A. Self, Michael L. Dunn, Ernest JSLS Case Reports BACKGROUND: Spillage of gallstones within the subcutaneous tissue during laparoscopic cholecystecomy may lead to considerable morbidity. METHODS: We describe an abdominal wall abscess formation in a 50-year-old female that developed 24 months after a laparoscopic cholecystectomy. RESULTS: Spilled gallstones at the umbilical port site went undetected. Subsequently, an umbilical port-site abscess formed and was treated 2 years later. CONCLUSION: Any patient with a foreign body in the subcutaneous tissues after a laparoscopic cholecystectomy should be considered to have a retained stone. Use careful dissection, copious irrigation, and a retrieval device to avoid stone spillage. If spillage does occurs, percutaneous drainage and antibiotics followed by open retrieval of the stones should achieve adequate results during those delayed presentations of abdominal wall abscesses. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015681/ /pubmed/16709372 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Hand, Andy A.
Self, Michael L.
Dunn, Ernest
Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy
title Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy
title_full Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy
title_fullStr Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy
title_full_unstemmed Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy
title_short Abdominal Wall Abscess Formation Two Years After Laparoscopic Cholecystectomy
title_sort abdominal wall abscess formation two years after laparoscopic cholecystectomy
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015681/
https://www.ncbi.nlm.nih.gov/pubmed/16709372
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