Walshaw C F, Deans H, Krukowski Z H
Department of Radiology, Aberdeen Royal Infirmary.
Clin Radiol. 1993 Oct;48(4):258-9. doi: 10.1016/s0009-9260(05)81013-x.
Laparoscopic cholecystectomy is now the operation of choice for symptomatic gall-bladder stones. Two cases of retained free intra-peritoneal gall-stones following this procedure are described; the first resulting in a peritoneal granuloma and causing initial confusion in diagnosis, and the second seen incidentally in a biloma. In the appropriate clinical setting free intra-peritoneal gall-stones must be added to the differential diagnosis of abdominal and pelvic calcification.
腹腔镜胆囊切除术现已成为有症状胆囊结石的首选手术方式。本文描述了两例该手术后腹腔内残留游离胆囊结石的病例;第一例导致腹膜肉芽肿并在诊断初期造成混淆,第二例偶然发现于胆汁瘤中。在适当的临床情况下,腹腔内游离胆囊结石必须纳入腹部和盆腔钙化的鉴别诊断中。