While laparoscopic cholecystectomy has become the treatment of choice for cholecystitis, complications such as abscess development can result even years after the intervention. We present a case of a patient with a remote history of laparoscopic cholecystectomy now diagnosed with gallbladder fossa abscess infected with , a low-virulence pathogen typically seen in iatrogenic urinary tract infections. Subsequent conjoint percutaneous drainage and long-term antibiotics resulted in both clinical and radiological improvement for the patient. Therefore, in the absence of recent events or risk factors for developing an abdominal wall abscess, a previous remote history of surgical intervention needs to be considered for the possible etiology, especially those with low incidences and long latency periods such as .
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http://dx.doi.org/10.7759/cureus.37169 | DOI Listing |
Surg Endosc
January 2025
Center for Minimally Invasive Surgery, The Ohio State University Wexner Medical Center, 410 W 10th Avenue, 558 Doan Hall, Columbus, OH, USA.
Background: The current evaluation of surgical resident operative autonomy consists primarily of self-report and is prone to bias. Objective performance indicators (OPIs) generated from the da Vinci Surgical System capture objective intraoperative data providing an opportunity to evaluate the intraoperative resident experience more accurately. This study investigates the ability of OPIs to describe resident autonomy during robotic cholecystectomy.
View Article and Find Full Text PDFRadiol Case Rep
March 2025
Department of Radiology, National Academy of Medical Sciences (NAMS), Bir Hospital, Mahabouddha, Kathmandu, 44600, Nepal.
Gallbladder duplication is a rare anatomical variation with an incidence of approximately 1 in 3800 to 4000 live births, resulting from aberrant biliary organogenesis. This case report discusses a 35-year-old female who presented with intermittent lower abdominal pain, with initial imaging revealing a complex left adnexal cyst. Follow-up CT and ultrasound examinations revealed 2 distinct gallbladder-like structures in the gallbladder fossa, each with a cystic duct draining into the common bile duct.
View Article and Find Full Text PDFFront Surg
November 2024
Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun, China.
Background: Liposarcoma (LPS) is a kind of malignancy of soft tissue usually found in the retroperitoneal, limb, or neck region, and some may be detected with delayed symptoms (pain or palpable mass), and less frequently occurs in organs of the digestive system. In contrast, Dedifferentiated liposarcoma (DDLPS) is a common histological subtype of LPS. The present study reported a case of dedifferentiated liposarcoma originating in the gallbladder.
View Article and Find Full Text PDFThe liver is an important organ located on the right side of the abdomen, predominantly responsible for controlling mechanisms related to metabolism, immunity, digestion, detoxification, and coagulation. The gallbladder is an organ present in the gallbladder fossa on the inferior surface of the liver. The main function of the gallbladder is to store and concentrate bile, aiding in fat digestion.
View Article and Find Full Text PDFRev Esp Enferm Dig
October 2024
Radiology, Hospital CUF Porto, Portugal.
We present a case of a woman in her 70s, with right upper quadrant pain and jaundice, who underwent laparoscopic cholecystectomy 14 days, previously. The ultrasound and computer tomography scan revealed a fluid lesion in the gallbladder fossa with intrahepatic extension. At this point a wide differential diagnosis was possible.
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