Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones

Laparoscopic cholecystectomy is a surgical treatment for acute cholecystitis or symptomatic cholelithiasis. One potential complication, the spillage of gallstones into the peritoneal cavity, can form a nidus for infection and may be associated with hepatic, retroperitoneal, thoracic, and abdominal w...

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Main Authors: Vineet Tyagi, Daniel H. Wiznia, Adrian K. Wyllie, Kristaps J. Keggi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/9706065
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author Vineet Tyagi
Daniel H. Wiznia
Adrian K. Wyllie
Kristaps J. Keggi
author_facet Vineet Tyagi
Daniel H. Wiznia
Adrian K. Wyllie
Kristaps J. Keggi
author_sort Vineet Tyagi
collection DOAJ
description Laparoscopic cholecystectomy is a surgical treatment for acute cholecystitis or symptomatic cholelithiasis. One potential complication, the spillage of gallstones into the peritoneal cavity, can form a nidus for infection and may be associated with hepatic, retroperitoneal, thoracic, and abdominal wall abscesses. We report a case of a patient presenting with a right iliopsoas abscess and an infected right hip prosthesis status postlaparoscopic cholecystectomy. A CT demonstrated that the acetabular shell was overmedialized and perforated through the medial wall. The patient was taken to the operating room for explantation of components. A collection of gallstones was identified deep to the acetabulum during the explantation. The case highlights the importance of avoiding overmedialization of the acetabular component, which can provide a direct route for infection into the hip joint.
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institution Kabale University
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publishDate 2018-01-01
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series Case Reports in Orthopedics
spelling doaj-art-0666afcd0993446c9e92f75c268b1f7d2025-02-03T01:24:19ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/97060659706065Total Hip Lithiasis: A Rare Sequelae of Spilled GallstonesVineet Tyagi0Daniel H. Wiznia1Adrian K. Wyllie2Kristaps J. Keggi3Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USADepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, 47 College Street, Second Floor, New Haven, CT 06510, USALaparoscopic cholecystectomy is a surgical treatment for acute cholecystitis or symptomatic cholelithiasis. One potential complication, the spillage of gallstones into the peritoneal cavity, can form a nidus for infection and may be associated with hepatic, retroperitoneal, thoracic, and abdominal wall abscesses. We report a case of a patient presenting with a right iliopsoas abscess and an infected right hip prosthesis status postlaparoscopic cholecystectomy. A CT demonstrated that the acetabular shell was overmedialized and perforated through the medial wall. The patient was taken to the operating room for explantation of components. A collection of gallstones was identified deep to the acetabulum during the explantation. The case highlights the importance of avoiding overmedialization of the acetabular component, which can provide a direct route for infection into the hip joint.http://dx.doi.org/10.1155/2018/9706065
spellingShingle Vineet Tyagi
Daniel H. Wiznia
Adrian K. Wyllie
Kristaps J. Keggi
Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones
Case Reports in Orthopedics
title Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones
title_full Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones
title_fullStr Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones
title_full_unstemmed Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones
title_short Total Hip Lithiasis: A Rare Sequelae of Spilled Gallstones
title_sort total hip lithiasis a rare sequelae of spilled gallstones
url http://dx.doi.org/10.1155/2018/9706065
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