腹腔鏡膽囊摘除術膽石溢出併發遲發性橫膈下膿瘍

Late Complications of Spilled Gallstones: A Case Report

李平宇(Ping-Yu Lee) ； 張漢隆(Hang-Lung Chang) ； 郭佑啟(Yow-Chii Kuo)

《台灣急診專科醫師期刊》 1卷1期 (2009/12) Pp. 66-69

https://doi.org/10.29749/JTCEP.200912.0009

摘要

腹腔鏡膽囊摘除術造成膽石溢出發生率約6至30%，一般認為不會造成傷害，但偶會引起嚴重併發症。報告一例膽石溢出於術後八年造成橫膈下膿瘍，膽石溢出應盡力全數找回，且告知病人並記載於病歷，以利早期診斷遲發性併發症。

關鍵字

膽石溢出 ； 腹腔鏡膽囊摘除術 ； 橫膈下膿瘍

並列摘要

The condition of spilled gallstones is rare and occurs in 6% to 30% of laparoscopic cholecystectomy. Although spilled gallstones were considered harmless, unretrieved gallstones may cause uncommon but significant complications. We reported a rare case with subphrenic abscess due to a spilled gallstone 8 years after laparoscopic cholecystectomy. In cases of gallstone spillage during laparoscopic, every effort should be made to retrieve the stones. Once spillage occurred, it must be clearly documented and patient should be informed to promote the early diagnosis of late complications.

並列關鍵字

subphrenic abscess ； spilled gallstones ； laparoscopic cholecystectomy