Hospital: Hospital Universitario Marqués de Valdecilla.
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Aut@r o Autores: C. González-Carreró Sixto, M.E. Peña Gómez, M.A. Ballesteros Sanz, L. Sánchez Moreno, A.A. Cardín Pereda, J. Azcona Saenz.,
Presentación:
-year-old woman with a history of complicated laparoscopic cholecystectomy, presented with massive hemoptysis five months later caused by a migrated gallstone. Computed tomography (CT) scan of the chest revealed a right lower lobe hemorrhage with a foreig
Discusión:
Laparoscopic cholecystectomy (LC) is one of the most commonly performed procedures in general surgery. Some complications such as biliary tract injuries and intraoperative spillage of stones are more common in LC. These “lost” gallstones may cause complications even years after the procedure. The risk of their occurrence increase when gallstones are not retrieved successfully. The most common complications arise from the peritoneal cavity, which may present in the form of intraabdominal abscesses with or without transabdominal fistulas. Thoracic complications associated with dropped gallstones are rare and include empyema, hemoptysis, and cholelithoptysis. These rare complications sometimes require surgery but not all presentations of thoracic gallstones mandate operative intervention.
Conclusión:
Laparoscopic cholecystectomy (LC) is one of the most commonly performed procedures in general surgery. Some complications such as biliary tract injuries and intraoperative spillage of stones are more common in LC. These “lost” gallstones may cause complications even years after the procedure. The risk of their occurrence increase when gallstones are not retrieved successfully. The most common complications arise from the peritoneal cavity, which may present in the form of intraabdominal abscesses with or without transabdominal fistulas. Thoracic complications associated with dropped gallstones are rare and include empyema, hemoptysis, and cholelithoptysis. These rare complications sometimes require surgery but not all presentations of thoracic gallstones mandate operative intervention.
Bibliografía:
? Fontaine JP, Issa RA, Yantiss RK, Podbielski FJ, et al. Intrathoracic Gallstones: a Case Report and Literature Review, Journal of the Society of Laparoscopic Surgeons, 2006 Jul-Sep,10(3):375-8. ? Quail JF, Soballe PW and Gramins DL. Thoracic Gallstones: A Delayed Complication of Laparoscopic Cholecystectomy. Surgical Infections, 2014, 15(1): 69-71.