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Cholelithiasis of the ovary

Tursi James P. MD; Reddy, Uma M. MD; Huggins, George MD
Obstetrics & Gynecology: October 1993
Cholelithiasis of the ovary: PDF Only

Background: Laparoscopic cholecystectomy is becoming a popular surgical option in the management of gallstone disease. Reports on complications of this procedure have usually focused on prolonged operative time, bleeding, and infections. We describe a case of cholelithiasis of the ovary following laparoscopic cholecystectomy.

Case: A 70-year-old woman, para 5-0-0-5, presented with a 2-month history of a pelvic mass following a laparoscopic cholecystectomy. Exploratory laparotomy demonstrated a 4 × 4-cm para-ovarian cyst as well as multiple rectal and pelvic implants. Pathologic findings confirmed gallstones of the ovary and pelvic peritoneum. These gallstones elicited mesothelial proliferation, local hemorrhage, and adhesion formation.

Conclusion: The pathologic consequences of pelvic cholelithiasis can be marked. This was demonstrated in a postmenopausal woman, but has direct implications for the premenopausal patient as well. Our experience suggests that gallstones lost during laparoscopic cholecystectomy should be removed if possible.(Obstet Gynecol 1993;82:653-4)

From the Department of Obstetrics and Gynecology, Francis Scott Key Hospital, Johns Hopkins Health Care System, Baltimore, Maryland.

© 1993 The American College of Obstetricians and Gynecologists