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복강경 담낭절제술 후 복강내 잔류담석에 의한 복강내 농양 형성 (Case Report: Intraabdominal Abscess Formation by Inadvertently Spilled Gallstones during Laparoscopic Cholecystectomy)

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Intraabdominal Abscess Formation by Inadvertently Spilled Gallstones during Laparoscopic Cholecystectomy

복강경 담낭절제술 후 복강내 잔류담석에 의한 복강내 농양 형성

Various complications following laparoscopic cholecystec- tomy have been reported. We describe a case of intra- abdominal abscess formation which was developed two months after the inadvertently spilling of gallstones laparo- scopic cholecystectomy in a patient with acute cholelithiasis.

The condition was initially found on computed tomography and the diagnosis was confirmed with ultrasound. Although this is a rare complication of laparoscopic cholecystectomy, the spilling of gallstones should be recognized as a potential source of intra-abdominal abscess formation even in a patient presenting months after laparoscopic cholecystec- tomy. We suggest that routine use of the specimen retrieval bag is highly recommended especially for beginners of laparoscopic cholecystectomy during their initial learning period. (J Korean Surg Soc 2002;63:244-246)

Key Words: Laparoscopic cholecystectomy, Abdominal ab- scess, Gallstones, Postoperative complications

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