Journal of Radiology Case Reports, Vol 4, No 7 (2010)

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Combined percutaneous and endoscopic approach in management of dropped gallstones following laparoscopic cholecystectomy

Combined percutaneous and endoscopic approach in management of dropped gallstones following laparoscopic cholecystectomy

John Sing Fai Shum, Kai Hung Fung, George PC Yang, CN Tang, Michael KW Li

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Abstract


Dropped gallstones due to accidental perforation of gallbladder wall during laparoscopic cholecystectomy are often encountered. However, dropped gallstones as nidus of infection with subsequent abscess formation is a rare complication of laparoscopic cholecystectomy (0.3%). Most of the reported cases of complicated dropped stones required open surgical drainage. Minimally invasive measures were less frequently employed. We report a case of dropped gallstones that were removed endoscopically through a percutaneous drainage tract.


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