TAILIEUCHUNG - Báo cáo y học: " Complications of spilled gallstones following laparoscopic cholecystectomy: a case report and literature overview"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Complications of spilled gallstones following laparoscopic cholecystectomy: a case report and literature overview | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Complications of spilled gallstones following laparoscopic cholecystectomy a case report and literature overview Sophie Helme1 Tushar Samdani2 and Prakash Sinha2 Addresses imperial College London 10th Floor QEQM Wing St Mary s Campus 20 South Wharf Road London W2 1PD UK 2Princess Royal University Hospital Farnborough Kent UK Email SH - sophiehelme@ TS - drsam771@ PS - Corresponding author Received 8 October 2008 Accepted 6 March 2009 Published 24 July 2009 Journal ofMedical Case Reports 2009 3 8626 doi 1752-1947-3-8626 This article is available from http jmedicalcasereports article view 8626 2009 Helme et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Gallbladder perforation is common and occurs in 6 to 40 of laparoscopic cholecystectomy procedures. In up to a third of these cases stones are not retrieved and complications can arise many years post-operatively. Diagnosis can be difficult and patients may present to many specialties within medicine and surgery. We seek to present our case and review the literature on prevention and management of lost stones. Case presentation Our patient is a 77-year-old woman who presented to the urology clinic with a loin abscess that developed five years after laparoscopic cholecystectomy. Radiological studies showed retained abdominal gallstones and an associated abscess formation. These were drained under ultrasound guidance on several occasions and the patient now suffers from chronic sinusitis. Due to her age and comorbidities she has declined definitive surgical intervention to remove the stones. Conclusion

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