Background: Laparoscopic cholecystectomy may result in spilled bile and dropped gallstones. Although there are usually no consequences, occasionally this can lead to serious complications, including those requiring surgical procedures. Very few cases have been reported documenting the consequence of spilled biliary contents on or near the female genital tract.
Case: A cholelith became embedded in the ovary of a 53-year-old woman and was detected >7 years after laparoscopic cholecystectomy.
Conclusion: The complications of cholelithiasis of the ovary may include chronic pelvic pain, dysmenorrhea, infection, adhesions, ectopic pregnancy and infertility. Ovarian choleliths may be an incidental finding or can mimic a primary ovarian tumor.
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