Los nuevos problemas: Fístula lumbar secundaria a litiasis biliar abandonada durante cirugía laparoscópica

Daniel González; Gustavo Rodríguez; Luis Ruso

Authors

Daniel González Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3. Profesor Adjunto
Gustavo Rodríguez Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3. Profesor Agregado
Luis Ruso Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3. Profesor Titular

Keywords:

LAPAROSCOPIC CHOLECYSTECTOMY, FISTULA, ABDOMINAL ABSCESS, GALLBLADDER, GALLSTONES

Abstract

Cholecystechtomy laparoscopy to treat lithiasis of the accessory bile duct has been seen to be accompanied by a new complication resulting from abandoning the lithiasis and clips in the peritoneal cavity. This complication is also related to the accidental perforation of the gall bladder, either during cholecystechtomy or its removal. This study presents a clinical case where abandonment of the biliary lithiasis which resulted from breaking the nylon bag during vesicular removal in a laparoscopic cholecystechtomy coordinated 22 months prior to consultation, determined a right lumbar abscess which spontaneously drained causing a fistulous tract with constant drainage. During intraoperative exploration of the fistula, a 5 mm biliary lithiasis was found and removed, and the procedure was completed with a fistulectomy, what enabled scarring and consequently, the final resolution of the symptoms.

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