| Autor: |
Tyagi V; Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USA., Wiznia DH; Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USA., Wyllie AK; Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USA., Keggi KJ; Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USA. |
| Abstrakt: |
Laparoscopic cholecystectomy is a surgical treatment for acute cholecystitis or symptomatic cholelithiasis. One potential complication, the spillage of gallstones into the peritoneal cavity, can form a nidus for infection and may be associated with hepatic, retroperitoneal, thoracic, and abdominal wall abscesses. We report a case of a patient presenting with a right iliopsoas abscess and an infected right hip prosthesis status postlaparoscopic cholecystectomy. A CT demonstrated that the acetabular shell was overmedialized and perforated through the medial wall. The patient was taken to the operating room for explantation of components. A collection of gallstones was identified deep to the acetabulum during the explantation. The case highlights the importance of avoiding overmedialization of the acetabular component, which can provide a direct route for infection into the hip joint. |
