Ann Hepatobiliary Pancreat Surg.  2019 May;23(2):197-199. 10.14701/ahbps.2019.23.2.197.

Ectopic retained gallstone causing an abdominal wall abscess

• D'cruz RT
• Shelat VG

• KMID: 2448777
• DOI: http://doi.org/10.14701/ahbps.2019.23.2.197

Abstract

A 67-year-old lady was managed with percutaneous cholecystostomy for severe acute cholecystitis with septic shock. An interval laparoscopic subtotal cholecystectomy was done at 8 weeks. Her post-operative phase was complicated by intra-abdominal abscess requiring radiologically guided percutaneous drain insertion. Five days following the removal of the drain, she presented with a right abdominal wall abscess. A computerized tomography scan showed an abdominal wall ectopically-retained gallstone. The gallstone was retrieved along with drainage of abscess.

Keyword

Cholecystectomy; Percutaneous cholecystostomy; Retained gallstone

MeSH Terms

Abdominal Abscess
Abdominal Wall*
Abscess*
Aged
Cholecystectomy
Cholecystitis, Acute
Cholecystostomy
Drainage
Gallstones*
Humans
Shock, Septic

Figure

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  Fig. 1 Dye study of percutaneous drain showing biliary tree opacification with duodenogram and no retained stones.

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  Fig. 2 Computed tomography scan images demonstrating abscess formation around gallstone in the subcutaneous layer.

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  Fig. 3 Computed tomography scan images demonstrating abscess formation around gallstones in the intermuscular layer.

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