REGULAR CONTENT
Final ID
627
Type
Educational Exhibit-Poster Only
Authors
R Ahuja1, B McCabe1, T Lu1, J Springer1, W O'Connell1, J Shah1
Institutions
1Albert Einstein Medical Center, Philadelphia, PA
Purpose
1. To describe the radiographic appearance and limitations in the diagnosis of intra-abdominal abscess caused by dropped gallstones after laparoscopic cholecystectomy2. To review the spectrum of complications related to dropped gallstones3. To discuss the approaches for treatment of intra-abdominal and intra-thoracic abscess caused by dropped gallstones.
Materials & Methods
Laparoscopic cholecystectomy is the procedure of choice for routine gallbladder removal. The use of laparoscopic technique has resulted in an increased incidence of spillage of stones into the peritoneal space to as much as 30 percent of cases secondary to perforation of the gallbladder. Complications such as infection and abscesses, although uncommon, can be fatal. The diagnosis of such complications is challenging due to unusual clinical presentations, radiologically occult calculi, and variable locations of the dropped gallstones. Radiologists must be aware of techniques for identifying dropped gallstones and the complications and diagnostic limitations in patients who have undergone laparoscopic cholecystectomy.
Results
This educational exhibit will focus on complications, radiographic appearance of dropped gallstones and abscess and treatments of dropped gallstones. Appropriate imaging correlates and clinical history are key to diagnosing and providing appropriate treatments to patients.A. Radiographic appearance of dropped gallstones and abscessB. ComplicationsC. Treatments
Conclusions
Although the incidence of abscesses caused by dropped gallstones is an uncommon complication, it should be recognized as a potential source of both intra-abdominal and intra-thoracic abscess formation in any patient presenting months to years after undergoing laparoscopic cholecystectomy and a history of multiple abscess drainage. Radiologists play a critical role in identifying these complications and recognition of the imaging findings in addition to knowledge of appropriate interventional procedural technique is crucial to the proper management of these patients and earlier definitive surgical stone removal.
Final ID
627
Type
Educational Exhibit-Poster Only
Authors
R Ahuja1, B McCabe1, T Lu1, J Springer1, W O'Connell1, J Shah1
Institutions
1Albert Einstein Medical Center, Philadelphia, PA
Purpose
1. To describe the radiographic appearance and limitations in the diagnosis of intra-abdominal abscess caused by dropped gallstones after laparoscopic cholecystectomy2. To review the spectrum of complications related to dropped gallstones3. To discuss the approaches for treatment of intra-abdominal and intra-thoracic abscess caused by dropped gallstones.
Materials & Methods
Laparoscopic cholecystectomy is the procedure of choice for routine gallbladder removal. The use of laparoscopic technique has resulted in an increased incidence of spillage of stones into the peritoneal space to as much as 30 percent of cases secondary to perforation of the gallbladder. Complications such as infection and abscesses, although uncommon, can be fatal. The diagnosis of such complications is challenging due to unusual clinical presentations, radiologically occult calculi, and variable locations of the dropped gallstones. Radiologists must be aware of techniques for identifying dropped gallstones and the complications and diagnostic limitations in patients who have undergone laparoscopic cholecystectomy.
Results
This educational exhibit will focus on complications, radiographic appearance of dropped gallstones and abscess and treatments of dropped gallstones. Appropriate imaging correlates and clinical history are key to diagnosing and providing appropriate treatments to patients.A. Radiographic appearance of dropped gallstones and abscessB. ComplicationsC. Treatments
Conclusions
Although the incidence of abscesses caused by dropped gallstones is an uncommon complication, it should be recognized as a potential source of both intra-abdominal and intra-thoracic abscess formation in any patient presenting months to years after undergoing laparoscopic cholecystectomy and a history of multiple abscess drainage. Radiologists play a critical role in identifying these complications and recognition of the imaging findings in addition to knowledge of appropriate interventional procedural technique is crucial to the proper management of these patients and earlier definitive surgical stone removal.