©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 7, 2016; 22(17): 4421-4426
Published online May 7, 2016. doi: 10.3748/wjg.v22.i17.4421
Published online May 7, 2016. doi: 10.3748/wjg.v22.i17.4421
Spilled gallstones mimicking a retroperitoneal sarcoma following laparoscopic cholecystectomy
Bum-Soo Kim, Sun-Hyung Joo, Hyun-Cheol Kim, Division of Hepatobiliary Surgery, Department of Surgery, Kyung Hee University Hospital at Gandong, Kyung Hee University School of Medicine, Seoul 134-727, South Korea
Author contributions: Kim BS designed and wrote the paper; Joo SH supported writing of the paper; Kim HC reported radiologic imaging.
Institutional review board statement: This case report was approved by Kyung Hee University Hospital at Gangdong Institutional Review Board (KHNMC IRB 2015-12-008).
Informed consent statement: Informed consent was obtained from the patient for reporting this case.
Conflict-of-interest statement: All authors declare no conflicts of interest.
Correspondence to: Bum-Soo Kim, MD, PhD, Division of Hepatobiliary Surgery, Department of Surgery, Kyung Hee University Hospital at Gandong, Kyung Hee University School of Medicine, 892 Dongnam Ro, Gangdong Gu, Seoul 134-727, South Korea. kbs420@hanmail.net
Telephone: +82-2-4406119 Fax: +82-2-4406295
Received: December 18, 2015
Peer-review started: December 22, 2015
First decision: January 13, 2016
Revised: January 21, 2016
Accepted: February 22, 2016
Article in press: February 22, 2016
Published online: May 7, 2016
Processing time: 132 Days and 23.8 Hours
Peer-review started: December 22, 2015
First decision: January 13, 2016
Revised: January 21, 2016
Accepted: February 22, 2016
Article in press: February 22, 2016
Published online: May 7, 2016
Processing time: 132 Days and 23.8 Hours
Core Tip
Core tip: Gallstone abscess resulting from spilled gallstones is a rare complication following laparoscopic cholecystectomy. We report a rare presentation of gallstone abscess due to spilled gallstones following laparoscopic cholecystectomy, mimicking a retroperitoneal sarcoma in a 59-year-old male. Recognizing the patient information about a history of laparoscopic cholecystectomy and sharing the patient information with radiologists can make an accurate diagnosis and avoid misinterpretation when the diagnosis is equivocal in radiologic imaging. Clear documentation of gallbladder perforation and gallstone can help with diagnosis of the complication and for correct management. Five noteworthy features are discussed in this paper.