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腹腔镜胆囊切除术后胆囊结石残留导致的穿刺孔肌内脓肿——一种罕见的并发症。

Port site intramuscular abscess from retained gallstone post laparoscopic cholecystectomy - an unusual complication.

作者信息

Syed Faisal, Quah Gaik Si, Di Re Angelina

机构信息

Department of Surgery, Dubbo Base Hospital, Dubbo, New South Wales, Australia.

出版信息

J Surg Case Rep. 2023 Jan 4;2023(1):rjac611. doi: 10.1093/jscr/rjac611. eCollection 2023 Jan.

Abstract

Perforation of the gallbladder and the spillage of gallstones can be a cause of ongoing morbidity and mortality in patients post cholecystectomy. We report on an unusual case of a 58-year-old male who developed a right upper quadrant lump 8 years after laparoscopic cholecystectomy which was eventually determined to be an abscess from a retained gallstone that had become embedded in the musculature of his abdominal wall. We have also discussed some of the considerations taken in the surgical management of this case.

摘要

胆囊穿孔和胆结石溢出可能是胆囊切除术后患者持续发病和死亡的原因。我们报告了一例不寻常的病例,一名58岁男性在腹腔镜胆囊切除术后8年出现右上腹肿块,最终确定是一枚残留胆结石嵌入腹壁肌肉组织形成的脓肿。我们还讨论了该病例外科治疗中的一些注意事项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50e2/9825240/90f83ed3521d/rjac611f1.jpg

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