Sub Diaphragmatic Abscess Following Laparoscopic Cholecystectomy: an Uncommon Event

Shantanu Vyas

doi:10.4172/2155-6148.1000413

Abstract

In the current era of minimally invasive surgery, Laparoscopic Cholecystectomy has become the gold standard for the surgical management of symptomatic gallstones. However, with the increase in the number of laparoscopic operations performed, there has also been a noticeable increase in the number of complications specific to these procedures. Known complications of laparoscopic Cholecystectomy include bowel and vascular injury, injury of the bile duct and complications of retained stones, in less than 5% procedures performed. Spillage of bile and stones in the abdominal cavity has been reported in 15%-40% of procedures performed, but these are believed to be innocuous. We report a patient who suffered a thoraco abdominal complication in form of right sub diaphragmatic abscess, may be due to bile spillage, three weeks after initial operation.

Highlights

In the current era of minimally invasive surgery, Laparoscopic Cholecystectomy has become the gold standard for the surgical management of symptomatic gallstones
Known complications of laparoscopic Cholecystectomy include bowel and vascular injury, injury of the bile duct and complications of retained stones, in less than 5% procedures performed
We report a patient who suffered a thoraco abdominal complication in form of right sub diaphragmatic abscess, may be due to bile spillage, three weeks after initial operation

Summary

Introduction

In the current era of minimally invasive surgery, Laparoscopic Cholecystectomy has become the gold standard for the surgical management of symptomatic gallstones. Spillage of bile and stones in the abdominal cavity has been reported in 15%-40% of procedures performed [1], but these are believed to be innocuous. We report a patient who suffered a thoraco abdominal complication in form of right sub diaphragmatic abscess, may be due to bile spillage, three weeks after initial operation. This is worth reporting because authors have seen only single instance of sub diaphragmatic abscess in an experience of more than 700 lapcholecystectomies. Sonography revealed Right sub diaphragmatic abscess, with Right. Pleural effusion HRCT thorax confirmed Right sub diaphragmatic abscess, USG guided Right. Patient at 6 month follow up when last seen was perfectly well

Findings

Discussion

Conclusion