Retained gallstones

Case contributed by Dr Varun Babu

Presentation

History of cholecystectomy. Persistent abdominal pain.

Patient Data

Age: 70 years
Gender: Female
ct

Post cholecystectomy changes with surgical clips in operative bed. Three different well defined radiodensities seen per abdomen. One adjacent to retrohepatic IVC, largest along lesser curvature of stomach and smaller stones along right external iliac vessels. 

Case Discussion

Dropped or retained gallstones are a fairly common issue especially encountered in the now routine laparoscopic cholecystectomy. While per se they do not cause many issues, there is always a possibility of infection around the stone or formation of bowel fistulae. 

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