Pappas Apostolos V, Lagoudianakis Emmanuel E, Keramidaris Dimitrios, Koronakis Nikolaos E, Chrysikos Ioannis D, Koukoutsis Ilias D, Karanikas George, Manouras Andreas J, Katergiannakis Vaggelogiannis
1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece.
JSLS. 2011 Apr-Jun;15(2):248-51. doi: 10.4293/108680811X13071180406754.
The increasing use of laparoscopic cholecystectomy has led to an increased frequency of gallbladder perforation and subsequent gallstone spillage in the abdominal cavity. Occasionally unretrieved gallstones can cause infection, adhesions, and obstruction. Furthermore, spilt stones can cause erosion into adjacent organs and can migrate to distant sites, causing a variety of complications. We report the unusual case of a patient who presented with spontaneous erosion of gallstones through Grynfeltt's triangle, 1 year after laparoscopic cholecystectomy and review the current literature.
腹腔镜胆囊切除术的日益广泛应用导致胆囊穿孔及随后腹腔内胆石溢出的频率增加。偶尔,未取出的胆石可引起感染、粘连和梗阻。此外,溢出的胆石可侵蚀邻近器官并可迁移至远处部位,导致各种并发症。我们报告了1例腹腔镜胆囊切除术后1年出现胆石经格伦费尔特三角区自发侵蚀的罕见病例,并对当前文献进行了综述。