Gallstones mimicking malignancy - 23/08/11
Doi : 10.1016/j.gie.2008.11.052
| Commentary It is said that about 30% of laparoscopic cholecystectomies performed for cholelithiasis are complicated by stones being dropped into the peritoneal cavity, and in about 20% of these cases the stones are then unable to be removed. Such dropped and unretrieved stones can cause a multitude of problems even several years after the laparoscopy: intra-abdominal adhesion and abscess formation; migration through the abdominal wall with cutaneous fistula; migration through the diaphragm and into the lung with abscess or empyema; migration into the bronchus with hemoptysis or lithoptysis; erosion into the intestine with gallstone ileus, and, unique to the present case, mimicry of neoplastic studding of the peritoneum. My mother always told me to pick up after myself; maybe she thought I was going to be a laparoscopic surgeon. Her advice remains true to this day: if you drop a stone into the peritoneal cavity, don’t leave it for someone else to take care of later—pick it up. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2009
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 69 - N° 4
P. 951-952 - avril 2009 Retour au numéro
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