Late complication following percutaneous cholecystostomy: retained abdominal wall gallstone

Eur Radiol. 2000;10(8):1284-6. doi: 10.1007/s003309900309.

Abstract

A case of recurrent abdominal wall abscess following percutaneous cholecystostomy (PC) is presented. Transperitoneal PC was performed in an 82-year-old female with calculous cholecystitis. Symptoms resolved and the catheter was removed 29 days later. The patient came back 5 months later with a superficial abscess that was drained and 8 months post PC with a fistula discharging clear fluid. Ultrasonography revealed the tract adjacent to an area of inflammation containing a calculus, whereas CT failed to depict the stone. Subsequent surgery confirmed US findings. To our knowledge, this is the first report of a dislodged bile stone following percutaneous cholecystostomy.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / diagnosis*
  • Abdominal Abscess / surgery
  • Aged
  • Aged, 80 and over
  • Biliary Fistula / diagnosis
  • Biliary Fistula / surgery
  • Cholecystitis / diagnosis*
  • Cholecystitis / surgery
  • Cholecystostomy*
  • Cholelithiasis / diagnosis*
  • Cholelithiasis / surgery
  • Drainage
  • Female
  • Foreign-Body Migration / diagnosis*
  • Foreign-Body Migration / surgery
  • Humans
  • Minimally Invasive Surgical Procedures*
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / surgery
  • Reoperation
  • Tomography, X-Ray Computed
  • Ultrasonography