Gallbladder Perforation

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Elizabeth Oates - One of the best experts on this subject based on the ideXlab platform.

Ahmad Ghazal - One of the best experts on this subject based on the ideXlab platform.

  • gallstone related abdominal cystic mass presenting 6 years after laparoscopic cholecystectomy a case report
    International Journal of Surgery Case Reports, 2017
    Co-Authors: Rama Faour, Dana Sultan, Rand Houry, Mhamad Faour, Ahmad Ghazal
    Abstract:

    Introduction Although Gallbladder Perforation and gallstones spillage are common complications during laparoscopic cholecystectomy (LC), clinically significant complications resulting from stones left in the peritoneum are extremely uncommon. We report a rare case of spilled gallstones complication with a late and uncharacteristic presentation.

  • Gallstone-related abdominal cystic mass presenting 6 years after laparoscopic cholecystectomy: A case report
    Elsevier, 2017
    Co-Authors: Rama Faour, Dana Sultan, Rand Houry, Mhamad Faour, Ahmad Ghazal
    Abstract:

    Introduction: Although Gallbladder Perforation and gallstones spillage are common complications during laparoscopic cholecystectomy (LC), clinically significant complications resulting from stones left in the peritoneum are extremely uncommon. We report a rare case of spilled gallstones complication with a late and uncharacteristic presentation. Presentation of the case: A 44-year-old Caucasian female presented with a complaint of a mass in the right upper quadrant associated with a cramping pain for the last 6 months. Her past surgical history included a laparoscopic cholecystectomy performed six years ago. Abdominal computed tomography demonstrated an intra-abdominal cystic mass. On open exploration, a cystic mass adhered to the abdominal wall was excised containing two gallstones. The patient tolerated the procedure well and had uneventful postoperative recovery. Discussion: Although unretrieved gallstones are considered harmless, serious complications can occur early or late. The most frequent complication is the formation of abscesses in different locations. Conclusion: The diagnosis of gallstone abscess after years of LC is usually a diagnostic challenge. Obtaining a comprehensive past surgical history still plays an important role in the assessment of patients presenting with unusual findings

Calixto Pulmano - One of the best experts on this subject based on the ideXlab platform.

  • bile leak from Gallbladder Perforation mimicking bowel activity and a false negative result in a morphine augmented cholescintigraphy
    The Journal of Nuclear Medicine, 1993
    Co-Authors: Weijen Shih, Sylvia Magoun, B J Mills, Calixto Pulmano
    Abstract:

    Cholescintigraphy of a patient with bile leak demonstrated intra-abdominal activity that mimicked normal bowel activity. Because the Gallbladder was not visualized, morphine was injected intravenously. Gallbladder activity after morphine injection was misleading in the finding of chronic cholecystitis. Concurrent abdominal sonography and computerized tomography revealed a thickened Gallbladder wall with a gallstone and pericholecystic fluid collection. Exploratory laparotomy confirmed acute and chronic cholecystitis, cholelithiasis, choledocholithiasis, and a pericholecystic abscess. The false-negative conclusion for acute cholecystitis in the patient's morphine-augmented cholescintigraphy resulted from an acceleration of bile leakage due to pre-existing Gallbladder Perforation.

Dwight M. Achong - One of the best experts on this subject based on the ideXlab platform.

Rama Faour - One of the best experts on this subject based on the ideXlab platform.

  • gallstone related abdominal cystic mass presenting 6 years after laparoscopic cholecystectomy a case report
    International Journal of Surgery Case Reports, 2017
    Co-Authors: Rama Faour, Dana Sultan, Rand Houry, Mhamad Faour, Ahmad Ghazal
    Abstract:

    Introduction Although Gallbladder Perforation and gallstones spillage are common complications during laparoscopic cholecystectomy (LC), clinically significant complications resulting from stones left in the peritoneum are extremely uncommon. We report a rare case of spilled gallstones complication with a late and uncharacteristic presentation.

  • Gallstone-related abdominal cystic mass presenting 6 years after laparoscopic cholecystectomy: A case report
    Elsevier, 2017
    Co-Authors: Rama Faour, Dana Sultan, Rand Houry, Mhamad Faour, Ahmad Ghazal
    Abstract:

    Introduction: Although Gallbladder Perforation and gallstones spillage are common complications during laparoscopic cholecystectomy (LC), clinically significant complications resulting from stones left in the peritoneum are extremely uncommon. We report a rare case of spilled gallstones complication with a late and uncharacteristic presentation. Presentation of the case: A 44-year-old Caucasian female presented with a complaint of a mass in the right upper quadrant associated with a cramping pain for the last 6 months. Her past surgical history included a laparoscopic cholecystectomy performed six years ago. Abdominal computed tomography demonstrated an intra-abdominal cystic mass. On open exploration, a cystic mass adhered to the abdominal wall was excised containing two gallstones. The patient tolerated the procedure well and had uneventful postoperative recovery. Discussion: Although unretrieved gallstones are considered harmless, serious complications can occur early or late. The most frequent complication is the formation of abscesses in different locations. Conclusion: The diagnosis of gallstone abscess after years of LC is usually a diagnostic challenge. Obtaining a comprehensive past surgical history still plays an important role in the assessment of patients presenting with unusual findings