Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature
IntroductionLaparoscopic cholecystectomy (LC) represents one of the most commonly performed routine abdominal surgeries. Nevertheless, besides bile duct injury, problems caused by lost gallstones represent a heavily underestimated and underreported possible late complication after LC.MethodsCase rep...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1375502/full |
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| author | L. Danhel L. Danhel A. Fritz A. Fritz L. Havranek L. Havranek T. Kratzer T. Kratzer P. Punkenhofer P. Punkenhofer A. Punzengruber A. Punzengruber D. Rezaie D. Rezaie S. Tatalovic S. Tatalovic M. Wurm R. Függer R. Függer M. Biebl M. Biebl P. Kirchweger P. Kirchweger P. Kirchweger |
| author_facet | L. Danhel L. Danhel A. Fritz A. Fritz L. Havranek L. Havranek T. Kratzer T. Kratzer P. Punkenhofer P. Punkenhofer A. Punzengruber A. Punzengruber D. Rezaie D. Rezaie S. Tatalovic S. Tatalovic M. Wurm R. Függer R. Függer M. Biebl M. Biebl P. Kirchweger P. Kirchweger P. Kirchweger |
| author_sort | L. Danhel |
| collection | DOAJ |
| description | IntroductionLaparoscopic cholecystectomy (LC) represents one of the most commonly performed routine abdominal surgeries. Nevertheless, besides bile duct injury, problems caused by lost gallstones represent a heavily underestimated and underreported possible late complication after LC.MethodsCase report of a Clavien-Dindo IVb complication after supposedly straightforward LC and review of all published case reports on complications from lost gallstones from 2000-2022.Case ReportAn 86-year-old patient developed a perihepatic abscess due to lost gallstones 6 months after LC. The patient had to undergo open surgery to successfully drain the abscess. Reactive pleural effusion needed additional drainage. Postoperative ICU stay was 13 days. The patient was finally discharged after 33 days on a geriatric remobilization ward and died 12 months later due to acute cardiac decompensation.ConclusionIntraabdominal abscess formation due to spilled gallstones may present years after LC as a late complication. Surgical management in order to completely evacuate the abscess and remove all spilled gallstones may be required, which could be associated with high morbidity and mortality, especially in elderly patients. Regarding the overt underreporting of gallstone spillage in case of postoperative gallstone-related complications, focus need be put on precise reporting of even apparently innocuous complications during LC. |
| first_indexed | 2024-04-24T11:55:42Z |
| format | Article |
| id | doaj.art-a046a49d50b64f5a8210238b5fd60cf7 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-24T11:55:42Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-a046a49d50b64f5a8210238b5fd60cf72024-04-09T04:45:23ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-04-011110.3389/fsurg.2024.13755021375502Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literatureL. Danhel0L. Danhel1A. Fritz2A. Fritz3L. Havranek4L. Havranek5T. Kratzer6T. Kratzer7P. Punkenhofer8P. Punkenhofer9A. Punzengruber10A. Punzengruber11D. Rezaie12D. Rezaie13S. Tatalovic14S. Tatalovic15M. Wurm16R. Függer17R. Függer18M. Biebl19M. Biebl20P. Kirchweger21P. Kirchweger22P. Kirchweger23Department of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaVYRAL, Linz, AustriaDepartment of Diagnostic and Interventional Radiology, Ordensklinikum Linz, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaMedical Faculty, Johannes Kepler University, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaMedical Faculty, Johannes Kepler University, Linz, AustriaDepartment of Surgery, Ordensklinikum Linz, Linz, AustriaMedical Faculty, Johannes Kepler University, Linz, AustriaVYRAL, Linz, AustriaIntroductionLaparoscopic cholecystectomy (LC) represents one of the most commonly performed routine abdominal surgeries. Nevertheless, besides bile duct injury, problems caused by lost gallstones represent a heavily underestimated and underreported possible late complication after LC.MethodsCase report of a Clavien-Dindo IVb complication after supposedly straightforward LC and review of all published case reports on complications from lost gallstones from 2000-2022.Case ReportAn 86-year-old patient developed a perihepatic abscess due to lost gallstones 6 months after LC. The patient had to undergo open surgery to successfully drain the abscess. Reactive pleural effusion needed additional drainage. Postoperative ICU stay was 13 days. The patient was finally discharged after 33 days on a geriatric remobilization ward and died 12 months later due to acute cardiac decompensation.ConclusionIntraabdominal abscess formation due to spilled gallstones may present years after LC as a late complication. Surgical management in order to completely evacuate the abscess and remove all spilled gallstones may be required, which could be associated with high morbidity and mortality, especially in elderly patients. Regarding the overt underreporting of gallstone spillage in case of postoperative gallstone-related complications, focus need be put on precise reporting of even apparently innocuous complications during LC.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1375502/fullspilledlostgallstoneslaparoscopic cholecystectomyabscesscase report |
| spellingShingle | L. Danhel L. Danhel A. Fritz A. Fritz L. Havranek L. Havranek T. Kratzer T. Kratzer P. Punkenhofer P. Punkenhofer A. Punzengruber A. Punzengruber D. Rezaie D. Rezaie S. Tatalovic S. Tatalovic M. Wurm R. Függer R. Függer M. Biebl M. Biebl P. Kirchweger P. Kirchweger P. Kirchweger Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature Frontiers in Surgery spilled lost gallstones laparoscopic cholecystectomy abscess case report |
| title | Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature |
| title_full | Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature |
| title_fullStr | Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature |
| title_full_unstemmed | Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature |
| title_short | Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication—case report and review of the literature |
| title_sort | lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication case report and review of the literature |
| topic | spilled lost gallstones laparoscopic cholecystectomy abscess case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1375502/full |
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