TY - JOUR
T1 - Broncholithiasis and thoracoabdominal actinomycosis from dropped gallstones
AU - Noda, Seiichi
AU - Soybel, David I.
AU - Sampson, Barbara A.
AU - DeCamp, Malcolm M.
PY - 1998/5/1
Y1 - 1998/5/1
N2 - 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.
AB - 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.
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U2 - 10.1016/S0003-4975(98)00102-7
DO - 10.1016/S0003-4975(98)00102-7
M3 - Article
C2 - 9594896
AN - SCOPUS:0032076064
SN - 0003-4975
VL - 65
SP - 1465
EP - 1467
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 5
ER -