A complicated abscess from a dropped gallstone. Issue 11 (4th November 2019)

• Record Type: Journal Article
• Authors: Murphy, Serena; Hebert, James; Leavitt, Bruce
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 11(2019)
• Publication Date: 2019-11-04
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz273
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Laparoscopic cholecystectomies represent one of the most common procedures of General Surgery. Dropped gallstones during laparoscopic cholecystectomy is a rare occurrence but can potentially lead to morbid complications. We present a rare case of a broncho-pleuro-cutaneous fistula in a patient with recurrent abscess formations after an elective laparoscopic cholecystectomy. The fistula formed over 3 years from a gallstone that eroded through the diaphragm, into the pleural space, and eventually into a terminal bronchiole. Bilirubin staining within the fistula tract was confirmed on hematoxylin and eosin staining.