Late complication following percutaneous cholecystostomy: retained abdominal wall gallstone.

Raissaki, M; Hatzidakis, A A; Prassopoulos, P; Bakandaki, A; Vrachassotakis, N; Vasilakis, S J; Gourtsoyiannis, N C · Eur Radiol · 2000

case_report · Level V

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Abstract

A case of recurrent abdominal wall abscess following percutaneous cholecystostomy (PC) is presented. Transperitoneal PC was performed in an 82-year-old female with calculous cholecystitis. Symptoms resolved and the catheter was removed 29 days later. The patient came back 5 months later with a superficial abscess that was drained and 8 months post PC with a fistula discharging clear fluid. Ultrasonography revealed the tract adjacent to an area of inflammation containing a calculus, whereas CT failed to depict the stone. Subsequent surgery confirmed US findings. To our knowledge, this is the first report of a dislodged bile stone following percutaneous cholecystostomy.

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