Broncholithiasis and thoracoabdominal actinomycosis from dropped gallstones

Seiichi Noda, David I. Soybel, Barbara A. Sampson, Malcolm M. DeCamp*

*Corresponding author for this work

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

We report a case of successfully managed invasive, thoracoabdominal actinomycosis caused by the intraperitoneal spillage of gallstones during laparoscopic cholecystectomy. The infected gallstones traversed the diaphragm, migrated into the lung parenchyma, and obstructed a segmental bronchus, causing pneumonia. Treatment involved retrieval of the obstructing stone, debridement and drainage of the pleuroperitoneal phlegmon/abscess, and intravenous antibiotics. The case illustrates the need to remove gallstones at the time of cholecystectomy.

Original languageEnglish (US)
Pages (from-to)1465-1467
Number of pages3
JournalAnnals of Thoracic Surgery
Volume65
Issue number5
DOIs
StatePublished - May 1 1998

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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