Abstract
This case report the patient presented with intra-abdominal abscess with the past surgical history of laparoscopic cholecystectomy and appendectomy. Being a radiologist, it is important to keep patient’s previous surgical interventions in mind as it can change the management options.
Highlights
Investigations/Imaging findings CT of the abdomen and pelvis demonstrated intra-abdominal abscess extending into the right flank/subcutaneous plane
As far as the pathophysiology of Dropped gall stones (DGs) is concerned, over the period it is associated with slow granulomatous response which is profoundly related to pigment stones because of the bilirubin polymer
Clinical implications if the DGs are not extracted can cause other rare complications which are associated with migration of DGs to nearby structures such as urinary tract, presenting as ovarian cholelithiasis, causing chronic pelvis pain
Summary
Learning from the radiological findings of dropped gall stone and/or appendicolith (its complication and management strategy). Yasir Jamil, MBBS and Dr Nicholas Reading, MBBS Department of Clinical Radiology, Whipps Cross University Hospital, London, UK. This case report the patient presented with intra-abdominal abscess with the past surgical history of laparoscopic cholecystectomy and appendectomy. It is important to keep patient’s previous surgical interventions in mind as it can change the management options. Clinical presentation A 53-year-old Caucasian female with a background of laparoscopic cholecystectomy (LC) and appendectomy 18 and 32 years ago respectively presented with 6 months’ history of ongoing right flank pain worsening over the last few weeks. There was a fluctuant and erythematous swelling in the right flank
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