During laparoscopic cholecystectomy, the gallbladder may be inadvertently entered and stones may be spilled into the peritoneal cavity. The prevailing consensus among surgeons is that "leftover" stones rarely, if ever, give trouble and should be left alone. This is based on accumulated clinical experience and an experimental study in which gallstones were implanted in the peritoneal cavity of rats and harvested a few months later.1 Our recent experience demonstrates that, occasionally, spilled stones may become symptomatic.
Report of a Case. A 52-year-old woman underwent an emergency laparoscopic cholecystectomy for acute cholecystitis. During the procedure, gallstones were spilled but not retrieved. The postoperative course was uneventful. Twelve months later she presented to the emergency department with a 1-week history of a painful, tender lump under her umbilicus. On physical examination, an abscess was noted in the depth of the healed site of the umbilical laparoscopic port, previously used for camera
Eldar S, Schein M. Discharge of a Gallstone 1 Year After Laparoscopic Cholecystectomy. Arch Surg. 1994;129(10):1105. doi:10.1001/archsurg.1994.01420340119025