Cholelithiasis of the ovary after laparoscopic cholecystectomy: A case report
ABSTRACT Laparoscopic cholecystectomy may result in spilled bile and dropped gallstones. Although there are usually no consequences, occasionally this can lead to serious complications, including those requiring surgical procedures. Very few cases have been reported documenting the consequence of spilled biliary contents on or near the female genital tract.
A cholelith became embedded in the ovary of a 53-year-old woman and was detected >7 years after laparoscopic cholecystectomy.
The complications of cholelithiasis of the ovary may include chronic pelvic pain, dysmenorrhea, infection, adhesions, ectopic pregnancy and infertility. Ovarian choleliths may be an incidental finding or can mimic a primary ovarian tumor.
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ABSTRACT: Objective: The purpose of this article is to describe the diagnostic pitfalls caused by dropped gallstones left in situ after laparoscopic cholecystectomy. Conclusion: Dropped gallstones may rarely become symptomatic, causing recurrent abscesses. Diagnosis is challenging due to unusual clinical presentations, myriad locations, and radiologically occult calculi. Even asymptomatic dropped gallstones may cause diagnostic confusion by masquerading as intraperitoneal neoplastic deposits. Radiologists should be aware of techniques for identifying and retrieving dropped gallstones and be wary of their complications and imitations in patients who have undergone laparoscopic cholecystectomy.American Journal of Roentgenology 06/2013; 200(6):1244-1253. DOI:10.2214/AJR.12.9430 · 2.73 Impact Factor