Unusual presentation of abdominal wall abscess: retained gallstones after laparoscopic subtotal cholecystectomy

Authors

  • Bhupesh Tirpude Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Hemant Bhanarkar Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Gayatri Amit Deshpande Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Girish Kodape Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Yash Jain Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Raj N. Gajbhiye Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Ashutosh Jadhao Department of Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Vipin Kursunge Department of Surgery, Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20241404

Keywords:

Cholecystocutaneous fistulas, Gall stones, Abdominal wall abscess, Subtotal cholecystectomy

Abstract

This case depicts an uncommon origin of an abdominal wall abscess. A 66-years old woman presented with a flank abscess on the right side, following a previous laproscopic subtotal cholecystectomy. Upon incision, the abscess revealed retained gall stones within the abdominal wall muscles. The patient underwent laproscopic dissection of the fistula tract and retrieval of the retained stones. With proper expertise, this could be achieved laproscopically, and potential difficulties should be anticipated pre-operatively. This also underscores the role of indocyanine green-guided biliary surgeries in preventing fatal complications.

References

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Published

2024-05-29

Issue

Section

Case Reports