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

Bhupesh Tirpude; Hemant Bhanarkar; Gayatri Amit Deshpande; Girish Kodape; Yash Jain; Raj N. Gajbhiye; Ashutosh Jadhao; Vipin Kursunge

doi:10.18203/2349-2902.isj20241404

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.

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