A Case of Gallstones Causing Pelvic Pain

Introduction. Assessing abdominal pain, particularly in women of reproductive age, requires thorough history taking, clinical examination, and investigations to obtain an accurate diagnosis. Both surgical and gynecological causes need to be considered, particularly previous relevant surgical history...

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Main Authors: Aizat Drahman, Kaushi Arulpragasam, Lilach Leibenson, Frank Sardelic
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2021/5553994
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author Aizat Drahman
Kaushi Arulpragasam
Lilach Leibenson
Frank Sardelic
author_facet Aizat Drahman
Kaushi Arulpragasam
Lilach Leibenson
Frank Sardelic
author_sort Aizat Drahman
collection DOAJ
description Introduction. Assessing abdominal pain, particularly in women of reproductive age, requires thorough history taking, clinical examination, and investigations to obtain an accurate diagnosis. Both surgical and gynecological causes need to be considered, particularly previous relevant surgical history. Presentation of case. We report a case of pelvic pain secondary to multiple gallstones found within the pelvic cavity postlaparoscopic cholecystectomy. Thorough investigations have been conducted without any obvious cause found. The pain was debilitating and largely affecting the patient’s quality of life. Therefore, decision to perform diagnostic laparoscopy and gallstones was found all over pelvic cavity and retrieved. Her pain resolved post operatively. Conclusions. Gallbladder perforation and stone spillage are the most common complications of laparoscopic cholecystectomy that arise during the removal and dissection of gallbladder and can cause significant morbidity if not managed early, especially retrieval of the stones intraoperatively. Therefore, patient with history of previous cholecystectomy with stone spillage presenting with undifferentiated abdominal pain and early diagnostic laparoscopy should be considered.
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publishDate 2021-01-01
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series Case Reports in Surgery
spelling doaj-art-8699a0169b044d6c85c28ef390eabef82025-02-03T05:45:20ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/55539945553994A Case of Gallstones Causing Pelvic PainAizat Drahman0Kaushi Arulpragasam1Lilach Leibenson2Frank Sardelic3Department of Surgery, Royal Prince Alfred Hospital, 2050 Sydney, New South Wales, AustraliaDepartment of Obstetrics and Gynaecology, King Edward Memorial Hospital, 6008 Subiaco, Western Australia, AustraliaDepartment of Surgery, Tamworth Base Hospital, 2340 Tamworth, New South Wales, AustraliaDepartment of Surgery, Tamworth Base Hospital, 2340 Tamworth, New South Wales, AustraliaIntroduction. Assessing abdominal pain, particularly in women of reproductive age, requires thorough history taking, clinical examination, and investigations to obtain an accurate diagnosis. Both surgical and gynecological causes need to be considered, particularly previous relevant surgical history. Presentation of case. We report a case of pelvic pain secondary to multiple gallstones found within the pelvic cavity postlaparoscopic cholecystectomy. Thorough investigations have been conducted without any obvious cause found. The pain was debilitating and largely affecting the patient’s quality of life. Therefore, decision to perform diagnostic laparoscopy and gallstones was found all over pelvic cavity and retrieved. Her pain resolved post operatively. Conclusions. Gallbladder perforation and stone spillage are the most common complications of laparoscopic cholecystectomy that arise during the removal and dissection of gallbladder and can cause significant morbidity if not managed early, especially retrieval of the stones intraoperatively. Therefore, patient with history of previous cholecystectomy with stone spillage presenting with undifferentiated abdominal pain and early diagnostic laparoscopy should be considered.http://dx.doi.org/10.1155/2021/5553994
spellingShingle Aizat Drahman
Kaushi Arulpragasam
Lilach Leibenson
Frank Sardelic
A Case of Gallstones Causing Pelvic Pain
Case Reports in Surgery
title A Case of Gallstones Causing Pelvic Pain
title_full A Case of Gallstones Causing Pelvic Pain
title_fullStr A Case of Gallstones Causing Pelvic Pain
title_full_unstemmed A Case of Gallstones Causing Pelvic Pain
title_short A Case of Gallstones Causing Pelvic Pain
title_sort case of gallstones causing pelvic pain
url http://dx.doi.org/10.1155/2021/5553994
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