Gallstone Granuloma: A Rare Complication of Laparoscopic Cholecystectomy

CHJ Tham, BK Ng
Correspondence: Dr Colin Tham

ABSTRACT
Gallstone spillage during laparoscopic cholecystectomy is a relatively common occurrence. These intraperitoneal stones rarely give rise to complications. We present the case of a 68 female who presented with a 5 cm diameter epigastric mass two years after a laparoscopic cholecystectomy for acute-on-chronic cholecystitis with gallbladder stones. CT abdomen demonstrated an inflammatory mass with central calcification. Laparotomy and excision of the mass revealed the diagnosis as a gallstone granuloma.

Singapore Med J 2001; 42(4): 174-175