Kendera Wendy, Shroff Neel, Al-Jabbari Esraa, Barghash Maggie, Bagherpour Arya, Bhargava Peeyush
Department of Radiology, University of Texas Medical Branch, 301 University Blvd, UTMB, Galveston, TX, 77555.
Radiol Case Rep. 2021 Oct 28;17(1):23-26. doi: 10.1016/j.radcr.2021.09.070. eCollection 2022 Jan.
Isolated case reports and small series in radiologic and surgical literature relay the different modes of clinical presentation that arise secondary to spillage of gallstones during surgery. We report a case of a 70-year-old female who presented with a 2-week history of right-sided abdominal pain. CT (computerized tomography) imaging findings demonstrated multiple peripherally enhancing hypoattenuating lesions in the right subphrenic space abutting the hepatic dome, concerning for abscesses. The lesions were found to have a characteristic central hyperattenuating focus (Target Sign) consistent with gallstones, as identified on a pre-cholecystectomy CT, resulting in the early diagnosis and treatment of dropped gallstones from prior laparoscopic cholecystectomy approximately 1 year prior to presentation.
放射学和外科学文献中的孤立病例报告及小样本系列研究阐述了手术期间胆结石溢出引发的不同临床表现形式。我们报告一例70岁女性病例，该患者有2周的右侧腹痛病史。CT（计算机断层扫描）影像结果显示，右膈下间隙靠近肝穹窿处有多个周边强化的低密度病变，怀疑为脓肿。在胆囊切除术前的CT检查中发现，这些病变有一个特征性的中央高密度灶（靶征），与胆结石相符，从而在患者就诊前约1年对其先前腹腔镜胆囊切除术后掉落的胆结石进行了早期诊断和治疗。
