Ologun Gabriel O, Lovely Rachel, Sultany Mohammad, Aman Mustafa
General Surgery, Robert Packer Hospital/Guthrie Clinic.
Medical Student, Geisinger Commonwealth School of Medicine/robert Packer Hospital.
Cureus. 2018 Jan 6;10(1):e2030. doi: 10.7759/cureus.2030.
Gallstone spillage is a common intraoperative event during laparoscopic cholecystectomy (LC). Patients present months to years with nonspecific symptoms after the original procedure. The complications of retained peritoneal gallstones are infrequent. Having a high index of suspicion is the key to early diagnosis. Every effort should be made to remove spilled gallstones at the index operation to prevent future complications, however, conversion from laparoscopy to laparotomy for retrieval of spilt gallstone is not recommended. Here we present a case of retained gallstone presenting as a large intra-abdominal mass four years after laparoscopic cholecystectomy in a middle age bariatric patient.
胆囊结石溢出是腹腔镜胆囊切除术（LC）术中常见的情况。患者在初次手术后数月至数年出现非特异性症状。腹腔内残留胆结石的并发症并不常见。高度怀疑是早期诊断的关键。应尽一切努力在初次手术时取出溢出的胆结石以预防未来的并发症，然而，不建议将腹腔镜手术转换为开腹手术来取出溢出的胆结石。在此，我们报告一例中年肥胖患者在腹腔镜胆囊切除术后四年，残留胆结石表现为腹腔内巨大肿块的病例。
