Middle Pulmonary Lobe Abscess: A Delayed Complication of Laparoscopic Cholecystectomy.
| Autor: | Leopa N, Pavaloiu VC, Pundiche M, Bosneagu R, Popescu RC |
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| Jazyk: | angličtina |
| Zdroj: | Chirurgia (Bucharest, Romania : 1990) [Chirurgia (Bucur)] 2022 Jun; Vol. 117 (3), pp. 357-361. |
| DOI: | 10.21614/chirurgia.2414 |
| Abstrakt: | Background: Laparoscopic cholecystectomy has become a routine procedure in abdominal surgery, a "gold standard" in the treatment of gallstones. Iatrogenic perforation of the gallbladder during a cholecystectomy is a possible incident, with numerous complications due to unidentified intraperitoneal gallstones during surgery. Pulmonary complications of laparoscopic cholecystectomy are extremely rare. Case report: This report presents the case of a 62-year-old female with post cholecystectomy subphrenic abscess and trans-diaphragmatic fistula in the middle pulmonary lobe. In this case, the pulmonary symptoms dominated the clinical picture and the initial complementary explorations indicated a strictly pulmonary condition. The initial evolution of the patient was towards worsening, and the subsequent explorations established the real diagnosis. Conclusion: Gallbladder perforations with accidental loss of gallstones should be recognized immediately and managed. In the development of a pulmonary abscess, we can take into account an intra-peritoneal condition as well. (Celsius.) |
| Databáze: | MEDLINE |
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