Unusual abdominal wall abscess – Post laparoscopic cholecystectomy

Prashanth Annayyanapalya Thimmegowda1, Krish Lakshman 2

1. Department of General Surgery, Sagar Hospital

2. General, Laparoscopic and Gastrointestinal Surgeon, Shanthi Hospital and Research Centre

Correspondence to:Prashanth Annayyanapalya Thimmegowda; Email: at.prashanth@gmail.com

Abstract

Cholecystectomy is the most commonly performed operation worldwide nowadays. Laparoscopic cholecystectomy (LC) is the gold standard treatment of gallstones. We present a case of an 81-year-old male with a three-month history of loss of appetite and weight with no associated symptoms. Patient had undergone LC for symptomatic cholelithiasis one year previously, with an uneventful recovery. Clinical examination was essentially normal. CT Abdomen and pelvis showed thickening of right perihepatic peritoneum measuring15x15x3.5 cm, suggestive of chronic granulomatous lesion or atypical mesothelioma. We performed a diagnostic laparoscopy and found the lesion to be abdominal wall abscess. Abscess cavity was deroofed, pus drained out and thorough wash out given. Surprisingly no stones or any foreign body were found in the cavity. Histology of the abscess wall showed nonspecific inflammation. We report this case as a post-LC abdominal wall abscess with two peculiar features - (a) No systemic or local symptoms and (b) No association with spilt gallstones or other foreign bodies like sutures.

 

Keywords: Parietal wall abscess; Laparoscopic cholecystectomy

Ann Afr Surg. ****; **(*):***

DOIhttp://dx.doi.org/10.4314/aas.v*****

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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