Akyar G, Aytaç S, Yağci C, Akyar S
University of Ankara, Faculty of Medicine, Ibn-i Sina Hospital, Department of Radiology, Turkey.
Eur J Radiol. 1997 Nov;25(3):242-5. doi: 10.1016/s0720-048x(96)01147-3.
Laparoscopic cholecystectomy is a popular treatment modality of symptomatic gallstones with decreased major complications and shortened hospital stay. Complications following laparoscopic cholecystectomy, most of them involving strictures of biliary tract have been well described in recent reports. However, there are only a few reported cases about dropped gallstones after the procedure, all of which were opaque and easily demonstrated with multiple imaging modalities. An unusual complication of laparoscopic cholecystectomy; abscess formation due to a dropped non-opaque gallstone is described in which diagnosis was suggested with the combination of ultrasound and computed tomography findings and confirmed by surgery.
腹腔镜胆囊切除术是治疗有症状胆结石的一种常用方法,可减少主要并发症并缩短住院时间。近期报告对腹腔镜胆囊切除术后的并发症进行了详尽描述,其中大多数涉及胆道狭窄。然而,术后胆囊结石掉落的报告病例较少,所有这些结石均为不透光的,可通过多种成像方式轻松显示。本文描述了一种腹腔镜胆囊切除术的罕见并发症;因掉落的不透光胆囊结石形成脓肿,通过超声和计算机断层扫描结果相结合提示诊断,并经手术证实。