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Ann Thorac Surg 1998;65:1465-1467
© 1998 The Society of Thoracic Surgeons

Case Reports

Broncholithiasis and Thoracoabdominal Actinomycosis From Dropped Gallstones

Seiichi Noda, MDa, David I. Soybel, MDa, Barbara A. Sampson, MD, PhDb, Malcolm M. DeCamp, Jr, MDa

a Department of Surgery, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA
b Department of Pathology, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication December 11, 1997.

Address reprint requests to Dr DeCamp, Division of Thoracic Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115
e-mail: (mmdecamp{at}bics.bwh.harvard.edu)

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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S. G. Houghton, J. A. Crestanello, A.-Q. T. Nguyen, and C. Deschamps
Lung Abscess Due to Retained Gallstones With an Adenocarcinoma
Ann. Thorac. Surg., March 1, 2005; 79(3): e26 - e27.
[Abstract] [Full Text] [PDF]


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