Abstract

Background: Retained or “spilled” gallstones are common occurrences during laparoscopic cholecystectomy, with a reported incidence of 5-40%. Most often they are without consequence, however they can lead to postoperative complications, most commonly abscess formation with an incidence of approximately 60%. Rare complications include erosion of the retained stone into the wall of the small bowel, which carries the potential for extrinsic duodenal obstruction or small bowel perforation. Most common symptoms of retained gallstones develop within 3-6 months after cholecystectomy, however some have been reported as many as 20 years postoperatively.

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