Perforation of the
gallbladder during
laparoscopic cholecystectomy may be associated with intraperitoneal
gallstone spillage. Several
complications secondary to lost
gallstones in the
abdominal cavity have been described. We
report a rare complication of
abdominal abscess secondary to two
gallstones left in the
abdominal cavity. A 75-year-old
female presented with spontaneous
drainage of
pus through the
umbilicus five years after
laparoscopic cholecystectomy. An ultrasonographic evaluation of the
abdomen revealed a solid mass of 56x26 mm of diameter, with
acoustic shadow, localized distal to the
umbilicus. At
laparotomy, an
abscess with two
biliary calculi was drained. The
patient had good recovery, with no complication.