Retained gallbladder stones in trocar site hernia

Abstract

AIM: Retained stones after laparoscopic cholecystectomy occur after perforated gallbladder during surgery. A trocar site
hernia with 8 retained gallstones is presented.

PATIENT-METHOD: A 54-year-old female presented to our clinics with a paraumbilical hernia in trocar site. The patient
had laparoscopic cholecystectomy in another hospital one year ago. Retained stones were noticed in the trocar site while
preparing patients for hernia surgery. The patient had laparoscopic hernia repair with the removal of retained stones. 8
stones sized up to 2 cm were taken out of the abdomen. It seems to be the first case of retained stones in trocar site
hernia.

CONCLUSION: Gallbladder perforations are common during laparoscopic cholecystectomy due to traction with forceps or
inflammation. Careful inspection for spillage stone should be done.