Missed Gallbladder Stone Following Laparoscopic Cholecystectomy for Acute Cholecystitis

Abstract

Perforation of the gallbladder during laparoscopic cholecystectomy is common and results in the spillage of stones into the abdominal cavity. Most of these buried gallbladder stones are clinically silent, but a small percentage can develop complications such as infections, abscesses, and fistulas months or years after surgery If these stones are ignored and not removed from the abdominal cavity. This review presents a 59-year-old woman who was complicated by chronic supra-umbilical discharge from the camera site port, after six months of surgery. The patient had a previous history of multiple abscess drainage, and the radiological examination revealed abdominal gallstones in the abdominal cavity and attached to the abdominal wall with no connection to the abdominal organs. This study discusses our case and reviews the literature on the prevention and treatment of spilled gallstones after laparoscopic cholecystectomy.