Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report
Abstract Background Dropped gallstones during laparoscopic cholecystectomy (LC) sometimes induce postoperative infectious complications. However, pleural empyema rarely occurs as a complication of LC. Case presentation We present the case of a 66-year-old woman with right pleural empyema. She previo...
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| Language: | English |
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Japan Surgical Society
2022-04-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01419-4 |
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| author | Aya Tokuda Hiromitsu Maehira Hiroya Iida Haruki Mori Nobuhito Nitta Takeru Maekawa Katsushi Takebayashi Sachiko Kaida Toru Miyake Ryo Kuroda Haruka Yamamoto Masaji Tani |
| author_facet | Aya Tokuda Hiromitsu Maehira Hiroya Iida Haruki Mori Nobuhito Nitta Takeru Maekawa Katsushi Takebayashi Sachiko Kaida Toru Miyake Ryo Kuroda Haruka Yamamoto Masaji Tani |
| author_sort | Aya Tokuda |
| collection | DOAJ |
| description | Abstract Background Dropped gallstones during laparoscopic cholecystectomy (LC) sometimes induce postoperative infectious complications. However, pleural empyema rarely occurs as a complication of LC. Case presentation We present the case of a 66-year-old woman with right pleural empyema. She previously underwent LC for acute gangrenous cholecystitis 11 months ago. The operative report revealed iatrogenic gallbladder perforation and stone spillage. The bacterial culture of the gallbladder bile was positive for Escherichia coli. Chest and abdominal computed tomography revealed right pleural effusion, perihepatic fluid collection, and multiple small radiopaque density masses. Although ultrasound-guided transthoracic drainage was performed, the drainage was incomplete, and systemic inflammatory reaction persisted. Consequently, thoracotomy and laparotomy with gallstone retrieval were performed, and the patient recovered completely. The patient has remained well without complications after 14 months of follow-up. Conclusions We report a rare case of pleural empyema caused by dropped gallstones after LC. This case emphasized the importance of completely retrieving the dropped gallstones to prevent late infectious complications after LC. |
| format | Article |
| id | doaj-art-e82665d136a84827942364ed0d1b0584 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-e82665d136a84827942364ed0d1b05842025-08-20T02:50:59ZengJapan Surgical SocietySurgical Case Reports2198-77932022-04-01811610.1186/s40792-022-01419-4Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case reportAya Tokuda0Hiromitsu Maehira1Hiroya Iida2Haruki Mori3Nobuhito Nitta4Takeru Maekawa5Katsushi Takebayashi6Sachiko Kaida7Toru Miyake8Ryo Kuroda9Haruka Yamamoto10Masaji Tani11Department of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDivision of Respiratory Medicine, Department of Internal Medicine, Shiga University of Medical ScienceDivision of Respiratory Medicine, Department of Internal Medicine, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceAbstract Background Dropped gallstones during laparoscopic cholecystectomy (LC) sometimes induce postoperative infectious complications. However, pleural empyema rarely occurs as a complication of LC. Case presentation We present the case of a 66-year-old woman with right pleural empyema. She previously underwent LC for acute gangrenous cholecystitis 11 months ago. The operative report revealed iatrogenic gallbladder perforation and stone spillage. The bacterial culture of the gallbladder bile was positive for Escherichia coli. Chest and abdominal computed tomography revealed right pleural effusion, perihepatic fluid collection, and multiple small radiopaque density masses. Although ultrasound-guided transthoracic drainage was performed, the drainage was incomplete, and systemic inflammatory reaction persisted. Consequently, thoracotomy and laparotomy with gallstone retrieval were performed, and the patient recovered completely. The patient has remained well without complications after 14 months of follow-up. Conclusions We report a rare case of pleural empyema caused by dropped gallstones after LC. This case emphasized the importance of completely retrieving the dropped gallstones to prevent late infectious complications after LC.https://doi.org/10.1186/s40792-022-01419-4Pleural empyemaDropped gallstoneAcute cholecystitisLaparoscopic cholecystectomy |
| spellingShingle | Aya Tokuda Hiromitsu Maehira Hiroya Iida Haruki Mori Nobuhito Nitta Takeru Maekawa Katsushi Takebayashi Sachiko Kaida Toru Miyake Ryo Kuroda Haruka Yamamoto Masaji Tani Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report Surgical Case Reports Pleural empyema Dropped gallstone Acute cholecystitis Laparoscopic cholecystectomy |
| title | Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report |
| title_full | Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report |
| title_fullStr | Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report |
| title_full_unstemmed | Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report |
| title_short | Pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis: a case report |
| title_sort | pleural empyema caused by dropped gallstones after laparoscopic cholecystectomy for acute cholecystitis a case report |
| topic | Pleural empyema Dropped gallstone Acute cholecystitis Laparoscopic cholecystectomy |
| url | https://doi.org/10.1186/s40792-022-01419-4 |
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