Yang L, Wang T, Li XL, Wang YL. Cholecystitis with gallbladder rupture leading to free gallstone migration causing chronic abdominal wall sinus formation: A case report. World J Gastrointest Surg 2025; 17(7): 105308 [DOI: 10.4240/wjgs.v17.i7.105308]
Corresponding Author of This Article
Yan-Li Wang, Department of Plastic and Cosmetics Surgery, Zibo Central Hospital, No. 54 Gong-Qing-Tuan West Road, Zhang-Dian District, Zibo 255000, Shandong Province, China. wangyanliyangliu@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jul 27, 2025; 17(7): 105308 Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.105308
Cholecystitis with gallbladder rupture leading to free gallstone migration causing chronic abdominal wall sinus formation: A case report
Liu Yang, Tao Wang, Xiu-Li Li, Yan-Li Wang
Liu Yang, Xiu-Li Li, Yan-Li Wang, Department of Plastic and Cosmetics Surgery, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Tao Wang, Department of Ultrasonography, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Author contributions: Wang YL initiated the project, and designed the experiment and conducted clinical data collection; Wang T and Li XL performed postoperative follow-up and recorded data; Yang L conducted a number of collation and statistical analysis, and wrote the original manuscript. All authors have read and approved the final manuscript.
Informed consent statement: The study obtained informed consent from patients.
Conflict-of-interest statement: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Li Wang, Department of Plastic and Cosmetics Surgery, Zibo Central Hospital, No. 54 Gong-Qing-Tuan West Road, Zhang-Dian District, Zibo 255000, Shandong Province, China. wangyanliyangliu@163.com
Received: March 28, 2025 Revised: May 8, 2025 Accepted: May 20, 2025 Published online: July 27, 2025 Processing time: 117 Days and 3.5 Hours
Core Tip
Core Tip: This case report details an exceptionally rare complication following laparoscopic cholecystectomy: Chronic abdominal wall sinus formation due to free gallstone migration. Despite initial conservative management, including T-tube placement for gallbladder rupture, the patient developed a persistent subcutaneous abnormality with ulceration and purulent discharge 9.5 years later. Surgical exploration confirmed the presence of a yellow-green stone-like material at the base of the sinus tract. This case highlights the importance of thorough surgical retrieval of all gallstones during cholecystectomy and underscores the potential long-term complications of retained free gallstones. Early recognition and appropriate management are crucial.
