Yang Liu, Wang Tao, Li Xiu-Li, Wang Yan-Li
Department of Plastic and Cosmetics Surgery, Zibo Central Hospital, Zibo 255000, Shandong Province, China.
Department of Ultrasonography, Zibo Central Hospital, Zibo 255000, Shandong Province, China.
World J Gastrointest Surg. 2025 Jul 27;17(7):105308. doi: 10.4240/wjgs.v17.i7.105308.
Gallstones are frequently observed in patients with cholecystitis, but the migration of free gallstones into the abdominal wall leading to chronic sinus formation is exceedingly rare.
We report a case of a 72-year-old woman who experienced recurring fever and abdominal pain following laparoscopic cholecystectomy for acute cholecystitis, during which gallbladder rupture was noted. Despite initial conservative management and temporary T-tube placement, the patient developed a chronic sinus in the abdominal wall 9.5 years later, characterized by an area of thickened soft tissue with ulceration and purulent discharge. Surgical exploration revealed the presence of a migrated gallstone at the base of the sinus tract, necessitating careful surgical removal and postoperative wound care.
This case highlights the potential long-term complications of retained free gallstones and the importance of thorough surgical retrieval.
胆囊炎患者常伴有胆结石，但游离胆结石迁移至腹壁导致慢性窦道形成极为罕见。
我们报告一例72岁女性患者，因急性胆囊炎行腹腔镜胆囊切除术后反复发热、腹痛，术中发现胆囊破裂。尽管最初采取了保守治疗并临时放置了T管，但患者在9.5年后腹壁出现慢性窦道，表现为软组织增厚、溃疡并有脓性分泌物。手术探查发现窦道底部有一颗迁移的胆结石，需要仔细手术取出并进行术后伤口护理。
该病例突出了残留游离胆结石潜在的长期并发症以及彻底手术取出的重要性。
