Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones

Laparoscopic cholecystectomy is the treatment of choice for patients with symptomatic cholelithiasis. Spillage of gallstones into the abdominal cavity during laparoscopic cholecystectomy occurs in approximately one-third of cases. Although retained gallstones remain asymptomatic, few cases may devel...

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Main Authors: David A. Suarez-Zamora, Luis E. Barrera-Herrera, Ricardo Caceres-Mileo, Mauricio A. Palau-Lazaro
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2017/4873273
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author David A. Suarez-Zamora
Luis E. Barrera-Herrera
Ricardo Caceres-Mileo
Mauricio A. Palau-Lazaro
author_facet David A. Suarez-Zamora
Luis E. Barrera-Herrera
Ricardo Caceres-Mileo
Mauricio A. Palau-Lazaro
author_sort David A. Suarez-Zamora
collection DOAJ
description Laparoscopic cholecystectomy is the treatment of choice for patients with symptomatic cholelithiasis. Spillage of gallstones into the abdominal cavity during laparoscopic cholecystectomy occurs in approximately one-third of cases. Although retained gallstones remain asymptomatic, few cases may develop complications. We report the case of a 29-year-old nulliparous woman presenting with several hard nodules in the omentum, raising the possibility of a metastatic disease. Histological examination demonstrated a bile-stained material and a foreign body-type granulomatous response without neoplastic tissue. Our case demonstrates an example of a complication resulting two years after a laparoscopic cholecystectomy that was unexpectedly found during a cesarean delivery. Pathologists should be aware of this entity to avoid interpretation errors.
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institution Kabale University
issn 2090-6781
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language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Pathology
spelling doaj-art-c5a6b7845f6f435593f580bf90da15802025-02-03T01:02:19ZengWileyCase Reports in Pathology2090-67812090-679X2017-01-01201710.1155/2017/48732734873273Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped GallstonesDavid A. Suarez-Zamora0Luis E. Barrera-Herrera1Ricardo Caceres-Mileo2Mauricio A. Palau-Lazaro3Department of Pathology and Laboratories, Fundación Santa Fe de Bogotá, Bogotá D.C., ColombiaDepartment of Pathology and Laboratories, Fundación Santa Fe de Bogotá, Bogotá D.C., ColombiaDepartment of Obstetrics and Gynecology, Fundación Santa Fe de Bogotá, Bogotá D.C., ColombiaDepartment of Pathology and Laboratories, Fundación Santa Fe de Bogotá, Bogotá D.C., ColombiaLaparoscopic cholecystectomy is the treatment of choice for patients with symptomatic cholelithiasis. Spillage of gallstones into the abdominal cavity during laparoscopic cholecystectomy occurs in approximately one-third of cases. Although retained gallstones remain asymptomatic, few cases may develop complications. We report the case of a 29-year-old nulliparous woman presenting with several hard nodules in the omentum, raising the possibility of a metastatic disease. Histological examination demonstrated a bile-stained material and a foreign body-type granulomatous response without neoplastic tissue. Our case demonstrates an example of a complication resulting two years after a laparoscopic cholecystectomy that was unexpectedly found during a cesarean delivery. Pathologists should be aware of this entity to avoid interpretation errors.http://dx.doi.org/10.1155/2017/4873273
spellingShingle David A. Suarez-Zamora
Luis E. Barrera-Herrera
Ricardo Caceres-Mileo
Mauricio A. Palau-Lazaro
Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones
Case Reports in Pathology
title Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones
title_full Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones
title_fullStr Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones
title_full_unstemmed Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones
title_short Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones
title_sort intraperitoneal granulomas unexpectedly found during a cesarean delivery a late complication of dropped gallstones
url http://dx.doi.org/10.1155/2017/4873273
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AT ricardocaceresmileo intraperitonealgranulomasunexpectedlyfoundduringacesareandeliveryalatecomplicationofdroppedgallstones
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