Recurrence of -associated Intra-abdominal Infection 2 Years after Spilled Gallstones during Laparoscopic Cholecystectomy.

Spilled gallstones during laparoscopic cholecystectomy (LC) are common. Lost gallstones can lead to complications such as intra-abdominal abscesses, which can occur days, months, or even years after the procedure. belongs to the family of Enterobacteriaceae. It is a low-virulence pathogen; however, it is linked to infections of the urinary tract and abdomen. We report the case of a 70-year-old diabetic male who presented with - associated subhepatic abscess. Two years prior, he had emphysematous cholecystitis and liver abscess caused by . During his LC, gallstones were spilled in the abdominal cavity and every effort was made to retrieve them. However, 2 years later, an aspiration of the subhepatic abscess revealed cholesterol fragments. We hypothesize that dislodged cholesterol gallstones and bile, contaminated with , were the culprits for the appearance of the subhepatic abscess with the same organism 2 years after the LC.