RESUMO
BACKGROUND: Spillage of bile and gallstones due to accidental perforation of the gallbladder wall is often encountered during laparoscopic cholecystectomy. Although spilled stones were once considered harmless, there is increasing evidence that they can result in septic or other potential complications. CASE REPORT: We report a case of spilled gallstones mimicking peritoneal metastases on radiological investigations; diagnosis was confirmed by diagnostic laparoscopy. CONCLUSION: Every effort should be made to retrieve spilled gallstones during laparoscopic cholecystectomy. When all the stones cannot be retrieved, it should be documented in the patient's medical records to avoid delay in the diagnosis of late complications. Diagnostic laparoscopy is useful when the radiological investigations are inconclusive.
Assuntos
Colecistectomia Laparoscópica/efeitos adversos , Vesícula Biliar/lesões , Cálculos Biliares/diagnóstico , Complicações Intraoperatórias/diagnóstico , Idoso , Diagnóstico Diferencial , Feminino , Vesícula Biliar/cirurgia , Cálculos Biliares/cirurgia , Humanos , Complicações Intraoperatórias/cirurgia , Laparoscopia , Neoplasias Peritoneais/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
BACKGROUND: An extrapulmonary small cell carcinoma is a rare condition. It has similar histological features to pulmonary small cell carcinoma and is equally aggressive. CASE PRESENTATION: We present the case of a 60-year-old woman who presented with right upper quadrant pain. Computerised tomography revealed an appendiceal lesion and multiple liver metastases. Exploratory laparotomy and right hemicolectomy was performed with histopathological analysis confirming a primary small cell carcinoma of her appendix. CONCLUSION: This is the first reported case of a pure extrapulmonary carcinoma arising from the appendix.