Gallstone-induced inflammatory fibrosis: a relentless clinical course of retained gallstones after laparoscopic cholecystectomy
Autor: | Rod Mateo, Adrian J. Correa, Rick Selby, Jeffrey A. Hagen, Suzanne L. Palmer, Linda Sher, Gregory Heestand, Yuri Genyk, Bryant Morrison |
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Rok vydání: | 2006 |
Předmět: |
medicine.medical_specialty
Percutaneous Abdominal Abscess Exploratory laparotomy medicine.medical_treatment Gallstones Streptococcal Infections Abdomen medicine Humans Treatment Failure Abscess Aged business.industry General surgery Gallbladder General Medicine Staphylococcal Infections medicine.disease Fibrosis Surgery medicine.anatomical_structure Cholecystectomy Laparoscopic Cholecystectomy Female business |
Zdroj: | Scopus-Elsevier |
ISSN: | 0003-1348 |
Popis: | Multiple reports in the literature confirm that retained gallstones spilled during laparoscopic cholecystectomy perpetuate chronic inflammation and suppuration long after the initial operation. Two patients who had previously undergone laparoscopic cholecystectomy presented to our institution with complications of retained stones. Patient 1 presented with right upper quadrant pain and a mass involving the right hepatic lobe. Patient 2 presented with a draining right flank abscess. Both underwent exploratory laparotomy at which time multiple abscess cavities were found, many of which contained retained gallstones. Patient 1 required reoperation for recurrent abscesses 7 months after the initial procedure and has been disease free for 6 months. Patient 2 had abscess recurrence that required percutaneous drainage 1 year after the original procedure and has not had recurrence for 4 years. This paper was presented at the 6thWorld Congress of the International Hepato Pancreato Biliary Association, June 5, 2004, Washington, DC. |
Databáze: | OpenAIRE |
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