Broncholithiasis and thoracoabdominal actinomycosis from dropped gallstones.
case_report · Level V
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Abstract
We report a case of successfully managed invasive, thoracoabdominal actinomycosis caused by the intraperitoneal spillage of gallstones during laparoscopic cholecystectomy. The infected gallstones traversed the diaphragm, migrated into the lung parenchyma, and obstructed a segmental bronchus, causing pneumonia. Treatment involved retrieval of the obstructing stone, debridement and drainage of the pleuroperitoneal phlegmon/abscess, and intravenous antibiotics. The case illustrates the need to remove gallstones at the time of cholecystectomy.
Medical subject headings
- Abdominal Abscess
- Actinomycosis
- Bronchial Diseases
- Calculi
- Cholecystectomy, Laparoscopic
- Cholelithiasis
- Thoracic Diseases