Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
A Case of Intraabdominal Multiple Abscesses Caused by Spilled Gallstones After Laparoscopic Cholecystectomy
Akio NakagawaShinsuke SatakeKouichi NakajimaYoshisada Yamasaki
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2013 Volume 38 Issue 2 Pages 367-372

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Abstract
A 67-year-old woman underwent laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage for acute cholecystitis. She was discharged shortly, but a month later, came to our hosipital because of right flank discomfort emerged. The abdominal ultrasonography and CT scan revealed abscess cavities with some stone-like shadows in them, at right subphrenic space and Morisonʼs pouch. Morison’s pouch abscess was operated by small incision, and subphrenic abscess was operated laparoscopically, respectively. They both contained some pigmented stones seems to have been spilled from gallbladder at the first operation. Intraabdominal multiple abscess caused by spilled gallstones is relatively rare, and was treated with minimally-invasive surgery.
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© 2013 Japanese College of Surgeons
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