Dropped Gallstone Presenting as Recurrent Abdominal Wall Abscess. (Record no. 635)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03106nam a22003737a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 220511s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1930-0433 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1016/j.radcr.2022.03.044 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | PMC9010691 [pmc] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | S1930-0433(22)00217-5 [pii] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 35432673 |
| 245 ## - TITLE STATEMENT | |
| Title | Dropped Gallstone Presenting as Recurrent Abdominal Wall Abscess. |
| 251 ## - Source | |
| Source | Radiology Case Reports. 17(6):2001-2005, 2022 Jun. |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Radiol Case Rep. 17(6):2001-2005, 2022 Jun. |
| 253 ## - Journal Name | |
| Journal name | Radiology case reports |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2022 Jun |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | epublish |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2022-05-11 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Dropped gallstones are a known complication of laparoscopic cholecystectomy. Rarely, dropped stones may be embedded within the potential intraperitoneal spaces or abdominal wall, mimicking metastatic implants, tuberculosis, peritoneal loose body, actinomyces, and primary tumors, which when coupled with the fact that most bile stones are radiolucent, leads to diagnostic challenges. Here, we report a case of abdominal wall abscess due to a dropped stone that presented over 15 years after laparoscopic cholecystectomy. An 86-year-old male with laparoscopic cholecystectomy for management of acute cholecystitis complicated by post-cholecystectomy choledocholithiasis over 15 years back presented to the emergency department with intermittent, asymmetric abdominal "bulging" and a reported 16-pound weight loss of 3 months duration. He remained hemodynamically stable and physical examination demonstrated approximately 9 cm x 7 cm, nontender and slightly fluctuant mass appreciable on the right lateral abdominal wall extending to the right flank. Laboratory revealed leukocytosis and elevated lactic acid. Abdominal ultrasound and abdominal computed tomography demonstrated a 10.6 x 7 x 16 cm cystic mass with echogenic debris adjacent to the anterior segment of the right hepatic lobe. The patient presented multiple times with re-accumulation. A drain was subsequently placed and antibiotic therapy initiated with subsequent resolution. Follow-up magnetic resonance imaging revealed a punctate calcification within the abscess pocket. Retained stones should be considered in the differentials of patients presenting with abdominal discomfort and abdominal "masses." The clinical suspicion must remain high secondary to the potential temporally prolonged presentation, indolent nature of inflammation, and unusual sites of physical manifestations. Copyright © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Union Memorial Hospital |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Hospitalist |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Internal Medicine Residency |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Case Reports |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Haas, Christopher |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Kumar, Kaushik |
| 790 ## - Authors | |
| All authors | Haas CJ, Kumar K |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1016/j.radcr.2022.03.044">https://dx.doi.org/10.1016/j.radcr.2022.03.044</a> |
| Public note | https://dx.doi.org/10.1016/j.radcr.2022.03.044 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedStar Authors Catalog | MedStar Authors Catalog | 05/11/2022 | 35432673 | 35432673 | 05/11/2022 | 05/11/2022 | Journal Article |