Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of Abdominal Wall Abscess Caused by Biliary Gallstones Spilled During a Previous Laparoscopic Cholecystectomy
Masatoshi MatsunamiHiroshi KusanagiMichiko KitagawaMotoji FukasawaKano Nobuyasu
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JOURNAL FREE ACCESS

2014 Volume 34 Issue 1 Pages 101-104

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Abstract
A 71-year-old man was admitted to our hospital because of right back pain. He had undergone laparoscopic cholecystectomy in 2008 at another hospital. Abdominal CT revealed an abscess in the right abdominal wall and just under the diaphragm. On the same day incision and drainage for abdominal wall abscess were performed and multiple stones, 3~5 mm in diameter, were removed through the surgical wound. Antibiotic therapy was performed for the subdiaphragmatic abscess without any effect. As echo and CT-guided drainage didn’t work well, incision and drainage were performed under general anesthesia. The same kind of multiple stones were removed through the incision. Calculus analysis revealed that the stones consisted of cholesterol. The postoperative course was satisfactory and the patient was discharged.
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© 2014, Japanese Society for Abdominal Emargency Medicine
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