Abstract
Gallstone spillage is not an uncommon occurrence during laparoscopic cholecystectomy. Once thought to be harmless, the consequences of dropped gallstones, including intra-abdominal abscess, are now recognized as a cause of significant morbidity. Additionally, patients with complications due to such an event may have delayed diagnosis due to remote, unusual presentation and failure of imaging to detect the gallstones. We report the case of a patient who presented with recurrent right flank abscesses. The patient presented multiple times and improved symptomatically with IV antibiotics and percutaneous drainage. However, each time his symptoms returned within 2 weeks of discharge.
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