Extra-abdominal collection post cholecystectomy

Case contributed by Dr Jeremy Jones


Sepsis following cholecystectomy. Any residual collection?

Patient Data

Gender: Male

Deep to the midline wound but anterior to the anterior abdominal wall musculature is a collection of fluid 12.5cm in diameter, measuring 2.5 cm at its maximal depth. Its wall is thickened and enhances. Associated fat stranding. It contains locules of gas and a further collection of gas lies between it and the wound.

Partial gastrectomy. The gallbladder fossa is normal with no mesenteric fat corruption. The remainder of the intraperitoneal space is normal with no free fluid or active inflammatory process. No intra-abdominal collection.

Incidental note of a large lipoma within the left adductor musculature. Moderate right-sided hydrocele.

Case Discussion

The collection was subsequently drained under ultrasound guidance.

PlayAdd to Share

Case information

rID: 13238
Published: 17th Mar 2011
Last edited: 30th Jan 2021
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.