Ovarian cholelithiasis after laparoscopic cholecystectomy associated with chronic pelvic pain.
Fertil Steril
; 66(6): 1031-2, 1996 Dec.
Article
em En
| MEDLINE
| ID: mdl-8941076
ABSTRACT
OBJECTIVE:
To report a case of chronic pelvic pain associated with ovarian cholelithiasis and discuss prevention and management of this condition.DESIGN:
Case report.SETTING:
University hospital. PATIENT(S) A 39-year-old woman who presented with right lower abdominal pain after a laparoscopic cholecystectomy. INTERVENTION(S) Diagnostic laparoscopy followed by laparotomy with lysis of adhesions and removal of three to four dozen gallstones. MAIN OUTCOME MEASURE(S) Patient's subjective report of pain. RESULT(S) Resolution of patient's pain. CONCLUSION(S) Gallstones spilled into the peritoneal cavity may migrate and adhere to the dependent portions of the pelvis, potentially resulting in pelvic pain or infertility. This suggests the importance of removing inadvertently spilled gallstones at the time of surgery or using nonsurgical methods of gallstone management in reproductive-aged females.
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Base de dados:
MEDLINE
Assunto principal:
Doenças Ovarianas
/
Complicações Pós-Operatórias
/
Colelitíase
/
Colecistectomia Laparoscópica
/
Dor Pélvica
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Ano de publicação:
1996
Tipo de documento:
Article