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Surg Endosc. 1995 Mar;9(3):344-7.

Abdominal abscess from gallstones spilled at laparoscopic cholecystectomy. Case report and review of the literature.

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VA Medical Center, Bay Pines, FL 33504, USA.


One case is reported and 14 others are culled from the literature. Each patient experienced an intraperitoneal abscess with a gallstone nidus following laparoscopic cholecystectomy. Each required open surgical drainage weeks or months after the initial laparoscopic cholecystectomy. The natural biology of spilled intraperitoneal gallstones is not known. Two short-term animal studies suggest initial partial lysis and fibrotic encapsulation. At least 15% of completed laparoscopic cholecystectomies leave intraperitoneal gallstones. Almost all prove to be clinically innocuous but the rare instances of later intraabdominal abscess formation deserve recognition and reporting.

[Indexed for MEDLINE]

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