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Prensa méd. argent ; 95(9): 581-585, nov. 2008. ilus
Article in Spanish | LILACS | ID: lil-530071

ABSTRACT

La perforación de la vesícula biliar es una complicación frecuente durante la colecistectomía laparoscópica y puede asociarse con cálculos caídos a la cavidad peritoneal, que a veces no son recuperados. Esto no ha sido considerado un problema relevante pero pueden presentarse complicaciones con cuadros clínicos inespecíficos que se manifiestan meses o años después de la cirugía y requieren tratamiento quirúrgico. Se presenta el caso de un paciente con absceso intraabdominal secundario a un cálculo no recuperado. Se revisa el manejo y la prevención de esta complicación.


Gallbladder perforation is a frequent complication during laparoscopic cholecystectomy and can be associated with dropped gallstones to the peritoneal cavity that sometimes are unretrieved. This issue has not been considered a relevant problem, but complications can occur with nonspecific clinical presentation, showing up months or years after surgery and sometimes require surgical treatment. A case report is presented of a patient with an intraabdominal abscess secondary to an unretrieved gallstone. Management and prevention are also reviewed.


Subject(s)
Humans , Male , Middle Aged , Abdominal Abscess/complications , Cholecystectomy, Laparoscopic , Calculi/complications , Drainage , Stomach Rupture , Gallbladder/surgery
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