RESUMO
Laparoscopic cholecystectomy (LC) has been the gold standard for symptomatic gall stones for the last 20 years. The spillage of stones is reported in up to one-third of all LCs but clinical squeals caused by dropped gallstones are uncommon. We recently observed a patient with late abdominal wall abscess formation as a result of dropped gall stones after LC, who in the end, underwent open surgery because the medical therapy including antibiotics and percutaneous catheter drainage was not fully effective.
Assuntos
Humanos , Parede Abdominal , Abscesso , Antibacterianos , Catéteres , Colecistectomia Laparoscópica , Drenagem , Cálculos BiliaresRESUMO
We experienced a case of abdominal wall abscess originated from abdominal wall hematoma in 3 year old girl, who complained of abdominal pain, fever and lethargy. On admission, abdominal ultrasonography, abdominal computed tomography, and diagnostic needle aspiration were performed. Incision was made over the abscess so necrotic tissue and pus were evacuated. A nelaton catheter drain was placed into abscess cavity and, irrigation was done daily with normal saline mixed with antibiotics. Postoperative course was uncomplicated and the patient was discharged on 17th hospital day.