Elimination of biliary stones through the urinary tract: a complication of the laparoscopic cholecystectomy

Author:

Castro Maurício Gustavo Bravim de1,Alves Antônio Sérgio1,Oliveira Cláudio Almeida de1,Vieira Júnior Álvaro1,Vianna José Luiz Campello de Mello1,Costa Renato Freitas Carvalho1

Affiliation:

1. Felício Rocho Hospital, Brazil

Abstract

The introduction and popularization of laparoscopic cholecystectomy has been accompanied with a considerable increase in perforation of gallbladder during this procedure (10%--32%), with the occurrence of intraperitoneal bile spillage and the consequent increase in the incidence of lost gallstones (0.2%--20%). Recently the complications associated with these stones have been documented in the literature. We report a rare complication occurring in an 81-year-old woman who underwent laparoscopic cholecystectomy and developed cutaneous fistula to the umbilicus and elimination of biliary stones through the urinary tract. During the cholecystectomy, the gall bladder was perforated, and bile and gallstones were spilled into the peritoneal cavity. Two months after the initial procedure there was exteriorization of fistula through the umbilicus, with intermittent elimination of biliary stones. After eleven months, acute urinary retention occurred due to biliary stones in the bladder, which were removed by cystoscopy. We conclude that efforts should be concentrated on avoiding the spillage of stones during the surgery, and that no rules exist for indicating a laparotomy simply to retrieve these lost gallstones.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference5 articles.

1. Open cholecystectomy, cholecystectomy via minilaparotomy and laparoscopic cholecystectomy: a comparative analysis of 300;ALVES AS;Rev. Col Bras Cir,1997

2. Does intraoperative gallbladder perforation influence the early outcome of laparoscopic cholecystectomy?;SOPER NJ;Endoscopy,1991

3. Gallbladder and gallstone removal, open versus closed laparoscopic, and pneumoperitoneum;FITZGIBONS RJ;Am J Surg.,1993

4. Clinical manifestations of lost gallstones after laparoscopic cholecystectomy: a case report with review of literature;LÄUFFER JM;Surg Laparosc Endosc.,1997

5. Passing of gallstones via the urethra: a complication of laparoscopic cholecystectomy;LÜTKEN W;Surg Laparosc Endosc.,1997

Cited by 9 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3