The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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An Intra-Abdominal Abscess as a Late Complication of Laparoscopic Cholecystectomy

복강경하담낭절제술 후 생긴 복강내 농양 1예

  • Oh, Ha-Young (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Lee, Hong-Sik (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Bae, Song-Yee (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Park, Jae-Yeon (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Lee, Sang-Gyu (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Kwon, Bo-Sung (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Kim, Jin-Nam (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine)
  • 오하영 (고려대학교 안암병원 소화기내과학교실) ;
  • 이홍식 (고려대학교 안암병원 소화기내과학교실) ;
  • 배송이 (고려대학교 안암병원 소화기내과학교실) ;
  • 박재연 (고려대학교 안암병원 소화기내과학교실) ;
  • 이상규 (고려대학교 안암병원 소화기내과학교실) ;
  • 권보성 (고려대학교 안암병원 소화기내과학교실) ;
  • 김진남 (인제대학교 서울백병원 소화기내과학교실)
  • Published : 2012.07.01
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Abstract

Laparoscopic cholecystectomy is the treatment of choice for cholelithiasis. It is used more commonly than open cholecystectomy because of the convenience of a short hospital stay and earlier return to work, and for aesthetic reasons. Nevertheless, there are complications that are encountered more frequently than in open cholecystectomy due to the smaller operating window. Here, we report the case of a 73-year-old woman who underwent a laparoscopic cholecystectomy 15 years earlier and now presented with abrupt abdominal pain. Abdominal computed tomography (CT) revealed a past cholecystectomy with an abscess pocket abutting the abdominal wall, with a stone inside it. Incision and drainage were done and the stone was removed laparoscopically. This case shows that late complications, such as abscess formation due to lost GB stones during laparoscopic cholecystectomy, can occur, even after 15years.

15년 전에 복강경을 이용한 담낭 절제술을 시행한 환자에서 수술 당시 소실된 것으로 생각되는 담석에 의해 생긴 농양성 공동이 진단된 드문 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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