Catarci M, Zaraca F, Scaccia M, Carboni M
2nd Surgical Clinic, La Sapienza Rome University School of Medicine, Italy.
Surg Laparosc Endosc. 1993 Aug;3(4):318-22.
Laparoscopic cholecystectomy has become the "gold standard" in the therapy of noncomplicated cholelythiasis. Gallbladder perforation with bile and calculi spreading in the abdominal cavity is one of the most frequent intraoperative complications of laparoscopic cholecystectomy. When not recognized during surgery or unproperly treated, it may lead to intraperitoneal abscess formation and may require a reoperation. We report a case of an intraperitoneal abscess with a cutaneous fistula, a site of a mucopurulent exudate, and stone spillage after an unrecognized gallbladder perforation and residual lithiasis in the peritoneal cavity found 3 months after laparoscopic cholecystectomy.
腹腔镜胆囊切除术已成为非复杂性胆石症治疗的“金标准”。胆囊穿孔伴胆汁和结石在腹腔内播散是腹腔镜胆囊切除术最常见的术中并发症之一。若在手术中未被识别或处理不当，可能导致腹腔脓肿形成，甚至可能需要再次手术。我们报告一例腹腔镜胆囊切除术后3个月发现腹腔脓肿伴皮肤瘘、有黏液脓性渗出物及结石溢出，腹腔内存在未被识别的胆囊穿孔和残留结石。
