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Postoperative fistula of the abdominal wall after laparascopic cholecystectomy due to lost gallstones.

Abstract
Abdominal fistula caused by cholesterol gallstones, which remained in the abdominal wall after laparascopic cholecystectomy: a laparascopic cholecystectomy was performed in a 60-years-old man who was diagnosed as acute necrosing cholecystitis due to cholecystolithiasis. After removal of the gallbladder using an Endocath some gallstones remained in the excision channel of the abdominal wall. Therefore, a fistula developed in the excision channel postoperatively. As the wound healing was disturbed an investigation of the abdominal wall was performed by ultrasound. In the former excision channel several small, oval, formations with high echogenicity and faint ultrasound shadows were detected, corresponding to additional gallstones. After excision of granulation tissue and removal of the cholesterol stones, complete healing of the fistula in the abdominal wall was achieved.
AuthorsH Weiler, A Grandel
JournalEuropean journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology (Eur J Ultrasound) Vol. 15 Issue 1-2 Pg. 61-3 (Jun 2002) ISSN: 0929-8266 [Print] Ireland
PMID12044854 (Publication Type: Journal Article)
Topics
  • Abdominal Muscles
  • Cholecystectomy, Laparoscopic
  • Cholelithiasis (surgery)
  • Fistula (diagnostic imaging, etiology, surgery)
  • Humans
  • Male
  • Middle Aged
  • Ultrasonography

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