Paramesh A, Casale T, Peralta R, Phan T, Prakash S, Silva Y
Department of Surgery, North Oakland Medical Centers, Pontiac, MI 48341, USA.
JSLS. 1998 Jul-Sep;2(3):285-8.
We report two similar thoracoabdominal complications we encountered due to retained gallstones after cholecystectomy. These patients had had an open cholecystectomy after a failed laparoscopic attempt, with spillage of gallbladder debris intraoperatively. They were admitted more than 12 months later with subdiaphragmatic abscesses. Attempted computerized axial tomography (CT) guided drainage of these abscesses resulted in these patients developing pleural fluid collections, which required surgical drainage. The patients underwent exploratory laparotomies, and drainage of the subdiaphragmatic abscesses had revealed gallstones within the abscess cavity. A detailed presentation of these cases, with review of current literature and clinicopathologic issues for discussion are described.
我们报告了两例因胆囊切除术后残留胆结石而遇到的类似胸腹并发症。这些患者在腹腔镜手术失败后接受了开腹胆囊切除术，术中胆囊碎片有溢出。12个多月后，他们因膈下脓肿入院。尝试通过计算机断层扫描（CT）引导对这些脓肿进行引流，结果导致这些患者出现胸腔积液，需要进行手术引流。患者接受了剖腹探查术，膈下脓肿引流时发现脓肿腔内有胆结石。本文详细介绍了这些病例，并回顾了当前文献及临床病理问题以供讨论。
