Spilled gallstone mimicking intra-abdominal seeding of gallbladder adenocarcinoma: A case report  

作　　者：Cheng-Ken Huang Ruey-Hwa Lu Chien-Cheng Chen Po-Chun Chen Wen-Chang Hsu Meng-Jui Tsai Chin-Tsung Ting 

机构地区：[1]Division of Gastrointestinal Surgery,Department of Surgery,Ren-Ai Branch,Taipei City Hospital,Taipei 106,Taiwan,China [2]Division of General Surgery,Department of Surgery,Zhongxing Branch,Taipei City Hospital,Taipei 103,Taiwan,China [3]School of Medicine,Institute of Traditional Medicine,National Yang-Ming University,Taipei 112,Taiwan,China [4]Department of Health and Welfare,University of Taipe,Taipe 104,Taiwan,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第2期622-627,共6页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Gallbladder rupture is common in laparoscopic cholecystectomy because the gallbladder is usually in acute or chronic inflammation status.The gallstones may sometime be spilled into the peritoneal cavity,resulting in intra-abdominal ab-scess if the gallstones were not retrieved.The diagnosis of intra-abdominal ab-scess caused by unretrieved gallstone can usually be correctly identified in the routine imaging studies,such as abdominal ultrasonography or computed tomo-graphy(CT).Here we present a case of abscess formation from unretrieved gall-stone following laparoscopic cholecystectomy,which mimics the imaging findings of metastatic gallbladder ade-nocarcinoma.CASE SUMMARY This case described a 78-year-old man who received laparoscopic cholecystectomy and gallbladder adenocarcinoma was diagnosed after surgery.After adjuvant chemotherapy,the following up abdominal CT showed several small nodules at right upper abdomen and peritoneal carcinomatosis is considered.Repeated laparoscopic surgery for the excision of seeding tumor was conducted and the pathological diagnosis of the nodules and mass was inflammatory tissues and gallbladder stone.CONCLUSION Spilled gallstones are a common complication during laparoscopic cholecystectomy and some gallstones fail to be retrieved due to the size or the restricted view of laparoscopic surgery.For spilled gall bladder stones,surgeons may consider regular computerized tomography follow-up,and if necessary,laparoscopic examination can be used as a means of confirming the diagnostic and treatment.

关 键 词：Laparoscopic cholecystectomy Gallstone spillage Gallbladder cancer Mimicked cancerous Case report 

分 类 号：R735.8[医药卫生—肿瘤]