Spilled gallstones simulating peritoneal carcinomatosis: A case report and literature review
| Autor: | Gabriella Teresa Capolupo, Gianluca Mascianà, Marco Caricato, Filippo Carannante |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Suction (medicine)
medicine.medical_specialty Gallstones Article Gallbladder perforation Laparoscopic cholecystectomy 03 medical and health sciences 0302 clinical medicine Peritoneal chronic abscess formation Case report Biopsy medicine medicine.diagnostic_test business.industry Bile duct General surgery Soft tissue sarcoma medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Accidental 030211 gastroenterology & hepatology Surgery business Complication Peritoneal carcinomatosis |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.04.016 |
| Popis: | Highlights • Spilled gallstones. • Laparoscopy cholecystectomy. • Case report. • Simulating peritoneal carcinomatosis. Introduction Laparoscopic cholecystectomy (LC) has become the “gold standard” for the treatment of symptomatic gallstones. However, this surgical technique increases the risk of bile duct injury and lost gallstones. Since over 90% of split gallstones never become symptomatic, they often present as incidental findings on CT-scans. Careful removal of as many stones as possible, intense irrigation and suction are recommended. It has been reported that 8.5% of lost gallstones will lead to a complication, most common are abscesses. Presentation case We report a case of spilled gallstones simulating peritoneal metastases on radiological investigations. Diagnosis was very difficult, not even an US-guided biopsy of the lesion was decisive. Only a diagnostic laparoscopy confirms the diagnosis. Discussion The reaction associated with lost gallstones can mimic other causes, such as soft tissue sarcoma, malignant lymphoma or, as in our case peritoneal carcinomatosis. Conclusion Spilled gallstones are associated with uncommon, but significant complications, and even the diagnosis of such a condition can cause serious difficulties. Serious effort must be made to prevent gallbladder perforation, and accidental stone spillage should be promptly recognized and properly managed. |
| Databáze: | OpenAIRE |
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