A tale of spilled stones

Authors

  • Shikha Goja Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Swapnil Singh Kushwaha Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195985

Keywords:

Cholecystectomy, Spillage, Fistula, Retained stones

Abstract

Cholecystectomies are one of the commonest surgeries done in India. Gallbladder perforation and stone spillage is common and occurs in 15 to 40% of laparoscopic and 5 to 20% of open cholecystectomy procedures. In up to a third of these cases, stones are not retrieved and complications can arise many years post-operatively. In majority of cases these lost stones either in laparoscopic or open surgery remain silent but rarely can become symptomatic and cause range of complications like intra-abdominal abscesses, empyema, abdominal wall abscesses, cutaneous sinus tract and bladder fistulas. Diagnosis can be difficult and patients may present to many specialties within medicine and surgery. We seek to present our case and on a rare complication and management of one such “lost” stone.

Author Biographies

Shikha Goja, Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Post graduate , Department of General surgery, VMMC and SJH

Swapnil Singh Kushwaha, Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Senior resident , dept of general surgery. VMMC and SJH

References

Johnston S, O'Malley K, McEntee G, Grace P, Smyth E, Bouchier-Hayes DB. The need to retrieve the dropped stone during laparoscopic cholecystectomy. Am J Surg. 1994;167:608.

Hand AH, Self ML, Dunn E. Abdominal wall abscess formation two years after laparoscopic cholecystectomy. J Soc Laparo Surg. 2006;10:105-7

Khan MS, Khatri MA, Khan MS, Oonwala ZG. Knowledge and practices of general surgeons and residents regarding spilled gallstones lost during laparoscopic cholecystectomy: a cross-sectional survey. Patient Saf Surg. 2013;7:27.

Zehetner J, Shamiyeh A, Wayand W. Lost gallstones in laparoscopic cholecystectomy: all possible complications. Am J Surg. 2007;193:73-8.

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Published

2019-12-26

Issue

Section

Case Reports