[Subhepatic abscess as a late complication of missed intraperitoneal gallstone after laparoscopic cholecystectomy.]
[Article in Spanish]
Servicio de Cirugía General y del Aparato Digestivo, Hospital San Pedro de Alcántara, Cáceres, España. ccastellonp@teleline.es
Laparoscopic cholecystectomy is the treatment of choice in symptomatic cholelithiasis. Despite its many advantages over the conventional laparotomic approach, accidental perforation of the gallbladder with spilled stones and bile leakage is frequent during this procedure. Complications from missed gallstones are uncommon, although they can sometimes lead to severe consequences. Great effort must be made to achieve laparoscopic retrieval of all the gallstones missed into the peritoneal cavity and conversion to an open procedure should be used only in selected cases. We report a case of subhepatic abscess as a late complication of a missed gallstone during a previous laparoscopic cholecystectomy.
PMID: 15574280 [PubMed - indexed for MEDLINE]