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Revista Brasileira de Ginecologia e Obstetrícia
On-line version ISSN 1806-9339
MENEGOCI, José Carlos; ALCOLEA FILHO, Edson and GUTIERRES, Álvaro Augusto Germano. "Lost" gallstone: a new problem for the gynecologist in acute abdomen management ?. Rev. Bras. Ginecol. Obstet. [online]. 1999, vol.21, n.10, pp. 607-609. ISSN 1806-9339. http://dx.doi.org/10.1590/S0100-72031999001000008.
The authors report a case of a thirty-five-year-old patient, submitted to videolaparoscopic cholecystectomy one year ago, who appearently had acute salpingitis with abscess. During the laparotomy an abscess was observed, anteriorly limited by parietal peritoneum and the abdominal right anterior rectus muscle, and posteriorly by the horn of the uterus and by the right round ligament. In this abscess there was a structure later identified as gallstone. The aspects related to the pathogenesis, treatment and prevention, which have been reported frequently due to the increasing number of laparoscopic surgeries, are discussed.
Keywords : Acute abdomen; "Lost" gallstone; Pelvic inflammatory disease.