An often-forgotten cause of perihepatic abscess following cholecystectomy

Abstract

Gallbladder perforation during laparoscopic cholecystectomy with gallstone spillage is common and typically without serious sequela. Rarely, retained gallstones may cause important complications such as focal infection, fistula formation, and adhesions. Here, a case of dropped gallstone related perihepatic abscess and sepsis is presented. Because the retained stone location and timeline of presentation are both highly variable, accurate diagnosis can be difficult. Knowledge of this condition is thus paramount to prompt consideration of this possibility.