Xanthogranulomatous panniculitis after spillage of gallstones during laparoscopic cholecystectomy mimics intra-abdominal malignancy

Chien Hua Lin, Heng Cheng Chu, Huan Fa Hsieh, Jong Shiaw Jin, Jyh Cherng Yu, Ming Fang Cheng, Sheng Der Hsu, De Chuan Chan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Spillage of gallstones into the peritoneal cavity during laparoscopic cholecystectomy (LC) occurs frequently and may be associated with complications. Most of these complications present late after the original procedure, and many have clinical pictures that are not related to biliary etiology, which can confound and delay adequate management. Our patient presented with an intra-abdominal firm heterogeneous mass lesion. Imaging studies showed obvious abdominal wall invasion, and CA-125 level was elevated. Thus, malignancy could not be excluded. Final operative pathology revealed xanthogranulomatous inflammation. Complications of LC should be considered for patients with intra-abdominal abscess or mass lesion if there is a history of LC, regardless of time interval.

Original languageEnglish
Pages (from-to)248-250
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume16
Issue number4
DOIs
Publication statusPublished - Aug 1 2006
Externally publishedYes

Keywords

  • Abdominal abscess
  • Laparoscopic cholecystectomy
  • Postoperative complications
  • Spillage of gallstones
  • Xanthogranulomatous inflammation

ASJC Scopus subject areas

  • Surgery

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