Dropped gallstone-related perihepatic abscess 20 years after open cholecystectomy.

Introduction: Gallstone spillage during cholecystectomy is a recognized complication that can lead to various postoperative complications.

Case Presentation: We present a rare case of a gallstone abscess that developed 20 years after an open cholecystectomy. An 80-year-old woman with a history of high blood pressure and previous gallbladder removal presented with severe abdominal pain.