For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
3
views
10
references
 Top references
cited by
2
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      193
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Acute abdomen due to spilled gallstones: a diagnostic dilemma 10 years after laparoscopic cholecystectomy

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Laparoscopic cholecystectomy (LC) carries a significant risk of gallbladder perforation and resulting scattering of bile stones into the abdominal cavity. The retrieval of the spilled stones is not always possible by laparoscopic technique. Most cases do not create long-term problems, although some cases may be complicated in future and create uncertainties regarding the correct diagnosis. Diagnosis can be difficult, and in most cases the patient may require open surgery for management of these complications. Herein, we report a case of acute abdomen due to spilled stones occurring 10 years after LC. In the first stage, definitive diagnosis could not be made with computed tomography examination. Finally, the patient was diagnosed with explorative laparotomy.

          Related collections

          Most cited references10

          • Record: found
          • Abstract: found
          • Article: not found

          Peritoneal gallstones following laparoscopic cholecystectomy: incidence, complications, and management.

          Jimmy Windsor, J Woodfield, Jane Rodgers (2004)
          Gallstone spillage during laparoscopic cholecystectomy (LC) is a common intraoperative event. Although gallstones left in the peritoneal cavity were initially considered harmless, a significant number of complications have been reported. Our aim was to quantify the likelihood, and to document the range, of subsequent complications. A Medline search from 1987 to January 2003 was performed. Articles with more than 500 LCs that quantified the frequency of complications due to peritoneal gallstones were reviewed, as were representative case studies of different stated complications. Six studies, covering 18,280 LCs, were found. The incidence of gallbladder perforation was 18.3%, that of gallstone spillage was 7.3%, and that of unretrieved peritoneal gallstones was estimated to be 2.4%. There were 27 patients with complications. The likelihood of a complication when gallstone spillage occurred was 2.3%, which increased to 7.0% when unretrieved peritoneal gallstones were documented. Spilt gallstones have a small but quantifiably real risk of causing a wide range of significant postoperative problems.
          Article 0 comments Cited 44 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Complications due to gallstones lost during laparoscopic cholecystectomy.

            J Brockmann, G Schürmann, N Senninger … (2002)
            The aim of this study was to identify predisposing factors for complications after gallstone spillage during laparoscopic cholecystectomy (LC). Papers derived from Medline search and papers from reference lists within these papers were studied. Ninety-one reports on complications caused by lost gallstones published between 1991 and 1998 were analyzed. These patients were compared with cases in published series on LC in general. Gallbladder perforation (20%) and stone spillage (9%) were the two most common complications of LC which occurred during the dissection (75%) and removal (25%) of the gallbladder. Predisposing factors for developing complications after stone spillage were: older age, male sex, acute cholecystitis, spillage of pigment stones, number of stones (>15) or size of the stone (Ø > 1.5 cm), and perihepatic localization of lost stones. CT-scan and ultrasound examination proved best for the recognition of complications caused by lost stones. Explorative laparotomy and surgical removal of the stones was the most frequently used therapy. Gallbladder perforation and stone spillage might cause hazardous complications. In cases with loss of numerous or large pigment stones which cannot be retrieved by laparoscopy, intraoperative conversion to open surgery can be justified.
            Article 0 comments Cited 41 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Spilled gallstones after laparoscopic cholecystectomy. A relevant problem? A retrospective analysis of 10,174 laparoscopic cholecystectomies.

              H Wehrli, E Frei, C Klaiber … (1998)
              Spilled gallstones after laparoscopic cholecystectomy may cause abscess formation, but the exact extent of this problem remains unclear. The data (collected by the Swiss Association of Laparoscopic and Thoracoscopic Surgery) on 10,174 patients undergoing laparoscopic cholecystectomy at 82 surgical institutions in Switzerland between January 1992 and April 1995 were retrospectively analyzed with special interest in spilled gallstones and their complications. In 581 cases (5.7%) spillage of gallstones occurred; 34 of these cases were primarily converted to an open procedure for stone retrieval. Of the remaining 547 cases only eight patients (0.08%) developed postoperatively abscess formation requiring reoperation. Spillage of gallstones after laparoscopic cholecystectomy is fairly common and occurs in about 6% of patients. However, abscess formation with subsequent surgical therapy remains a minor problem. Removal of spilled gallstones is therefore not recommended for all patients, but an attempt at removal should be performed whenever possible.
              Article 0 comments Cited 25 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Mehmet Tolga Kafadar
                İsmail Çetinkaya
                Ulaş Aday
                Ömer Başol
                Hüseyin Bilge
                Journal
                Journal ID (nlm-ta): J Surg Case Rep
                Journal ID (iso-abbrev): J Surg Case Rep
                Journal ID (publisher-id): jscr
                Title: Journal of Surgical Case Reports
                Publisher: Oxford University Press
                ISSN (Electronic): 2042-8812
                Publication date Collection: August 2020
                Publication date (Electronic): 24 August 2020
                Publication date PMC-release: 24 August 2020
                Volume: 2020
                Issue: 8
                Electronic Location Identifier: rjaa275
                Affiliations
                Dicle University School of Medicine , Department of General Surgery, Diyarbakır, Turkey
                Health Sciences University , Mehmet Akif İnan Training and Research Hospital Clinic of General Surgery, Şanlıurfa, Turkey
                Dicle University School of Medicine , Department of General Surgery, Diyarbakır, Turkey
                Dicle University School of Medicine , Department of General Surgery, Diyarbakır, Turkey
                Dicle University School of Medicine , Department of General Surgery, Diyarbakır, Turkey
                Author notes
                Correspondence address: Dicle University School of Medicine, Department of General Surgery, Diyarbakır, Turkey. Tel: +90 412 2488001, -4679, -4979; E-mail: drtolgakafadar@ 123456hotmail.com
                Article
                Publisher ID: rjaa275
                DOI: 10.1093/jscr/rjaa275
                PMC ID: 7444308
                SO-VID: 7a2c7080-936a-4a8d-bc47-f23fc3f18ef3
                Copyright © Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 2 June 2020
                Date revision received : 30 June 2020
                Date accepted : 16 July 2020
                Page count
                Pages: 3
                Categories
                Subject: AcademicSubjects/MED00910
                Subject: jscrep/080
                Subject: Case Report

                Data availability:

                Comments

                Comment on this article

                scite_

                Similar content193

                See all similar

                Cited by2

                See all cited by

                Most referenced authors87

                See all reference authors