RESUMO
BACKGROUND: Spillage of gallstones within the subcutaneous tissue during laparoscopic cholecystecomy may lead to considerable morbidity. METHODS: We describe an abdominal wall abscess formation in a 50-year-old female that developed 24 months after a laparoscopic cholecystectomy. RESULTS: Spilled gallstones at the umbilical port site went undetected. Subsequently, an umbilical port-site abscess formed and was treated 2 years later. CONCLUSION: Any patient with a foreign body in the subcutaneous tissues after a laparoscopic cholecystectomy should be considered to have a retained stone. Use careful dissection, copious irrigation, and a retrieval device to avoid stone spillage. If spillage does occurs, percutaneous drainage and antibiotics followed by open retrieval of the stones should achieve adequate results during those delayed presentations of abdominal wall abscesses.
Assuntos
Parede Abdominal , Abscesso/etiologia , Colecistectomia Laparoscópica/efeitos adversos , Colelitíase/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Fatores de TempoAssuntos
Brônquios/lesões , Traumatismo Múltiplo/terapia , Respiração com Pressão Positiva , Traqueia/lesões , Acidentes de Trânsito , Adulto , Broncoscopia , Feminino , Humanos , Lacerações/terapia , Masculino , Pneumotórax/etiologia , Pneumotórax/terapia , Volume de Ventilação Pulmonar , Tomografia Computadorizada por Raios X , Traqueia/diagnóstico por imagemAssuntos
Falso Aneurisma/cirurgia , Angioplastia , Fístula Arteriovenosa/cirurgia , Lesões das Artérias Carótidas/cirurgia , Vértebras Cervicais , Veias Jugulares/lesões , Fraturas da Coluna Vertebral/complicações , Stents , Ferimentos por Arma de Fogo/cirurgia , Adulto , Falso Aneurisma/complicações , Falso Aneurisma/diagnóstico por imagem , Angiografia , Fístula Arteriovenosa/complicações , Fístula Arteriovenosa/diagnóstico por imagem , Lesões das Artérias Carótidas/complicações , Lesões das Artérias Carótidas/diagnóstico por imagem , Humanos , Masculino , Traumatismo Múltiplo , Tomografia Computadorizada por Raios X , Ferimentos por Arma de Fogo/diagnóstico por imagemRESUMO
BACKGROUND: The evaluation of multitrauma patients for blunt truncal injuries remains open for debate. We sought to evaluate the role of routine computed tomography (CT) of the chest, abdomen, and pelvis as a screening tool for patients already undergoing cranial CT studies. METHODS: Charts of blunt trauma patients admitted from June 2000 to June 2001 were reviewed for demographics, Glascow Coma Scale (GCS), physical and radiological findings, and length of stay. RESULTS: Our study found that 38% of patients undergoing cranial CT scanning had a unexpected finding on body scans. Changes were made in 26% of the study group because results found on the adjuvant CTs. CONCLUSIONS: Additional body CTs add minimal cost to the care of trauma patients but can significantly change the management. We believe it is beneficial to perform routine body CT examinations when performing cranial imaging for blunt head injury.
