Late Onset Abdominal Wall Abscess after Laparoscopic Cholecystectomy

Abstract

Background: Spillage of gallstones during the extraction of the gallbladder through the abdominal wall incision in laparoscopic cholecystecomy may lead to considerable complications. Methods: We describe an abdominal wall abscess formation in a 50-year-old female that developed 8 months after a laparoscopic cholecystectomy. Results: Undetected spillage of gallstones at the epigastric port site followed by stones migration through subcutaneous plane has lead to abdominal wall abscess formation at hypochondrial area 8 months later. Conclusion: Retained stone should be considered in any patient with foreign body in the subcutaneous tissues after a laparoscopic cholecystectomy. The use of a retrieval device avoids stone spillage. Spilled gallstones always should be removed when possible. In delayed presentations of abdominal wall abscesses due to Spilled gallstones, open drainage of the abscess and open retrieval of the stones followed by antibiotics and daily dressing should achieve adequate results.