Uncommon complications of biliary stones


Gallstone disease has a high incidence, and most common presentations are well known and recognized. Particulalry in the elderly population though, uncommon presentations of gallstone disease are more frequent, and can easily be missed or misinterpreted. In this article we present 5 such patients with an atypical presentation of gallstone disease. We will then discuss atypical gallstone disease in more detail.

Share and Cite:

Janssen, S. , Mierlo, I. , Gilissen, L. , Nienhuijs, S. and Heemskerk, J. (2012) Uncommon complications of biliary stones. Open Journal of Internal Medicine, 2, 19-26. doi: 10.4236/ojim.2012.21005.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Yoo, E.H. and Lee, S.Y. (2009) The prevalence and risk factors for gallstone disease. Clinical Chemistry and Laboratory Medicine, 47, 795-807. doi:10.1515/CCLM.2009.194
[2] Zakko, S. and Ramsby, G. (1990) Role of computed tomography in assessing gallstones. Radiology Report, 2, 426.
[3] Attasaranya, S., Fogel, E.L. and Lehman, G.A. (2008) Choledocholithiasis, ascending cholangitis, and gallstone pancreatitis. Medical Clinics of North America, 92, 925-960. doi:10.1016/j.mcna.2008.03.001
[4] Sanders, G. and Kingsnorth, A.N. (2007) Gallstones. British Medical Journal, 335, 295-299. doi:10.1136/bmj.39267.452257.AD
[5] Marschall, H.U. and Einarsson, C. (2007) Gallstone Disease. Journal of Internal Medicine, 261, 529-542. doi:10.1111/j.1365-2796.2007.01783.x
[6] Zaliekas, J. and Munson, J.L. (2008) Complications of gallstones: The Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of “lost” stones. Surgical Clinics of North America, 88, 1345-1368. doi:10.1016/j.suc.2008.07.011
[7] Abou-Saif, A. and Al-Kawas, F.H. (2002) Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. The American Journal of Gastroenterology, 97, 249-254. doi:10.1111/j.1572-0241.2002.05451.x
[8] Mezhir, J.J., Fong, Y. and Jacks, L.M. (2010) Current management of pyoegnic liver abscess: Surgery is now second-line treatment. Journal of the American College of Surgeons, 210, 975-983. doi:10.1016/j.jamcollsurg.2010.03.004
[9] Huang, C.-J., Pitt, H.A., Lipsett, P.A., et al. (1996) Pyogenic hepatic abscess: Changing trends over 42 years. Annals of Surgery, 223, 600-607. doi:10.1097/00000658-199605000-00016
[10] Lam, Y.-H., Wong, S. K.-H., Lee, D.W.-H, et al. (1999) ERCP and pyogenic liver abscess. Gastrointest Endosc, 50, 340-344. doi:10.1053/ge.1999.v50.98065
[11] Ch-Yu, S., Hg-Lo, R., Kan, P.S. and Metreweli, C. (1997) Pyogenic liver abscess: Treatment with needle aspiration. Clinical Radiology, 52, 912-916. doi:10.1016/S0009-9260(97)80223-1
[12] Lee, K.T., Wong, S.R. and Sheen, P.C. (2001) Pyogenic liver abscess: An audit of 10 years’ experience and analysis of risk factors. Digestive Surgery, 18, 459-465. doi:10.1159/000050194
[13] Sridharan, G.V., Wilkinson, S.P. and Primrose, W.R. (1990) Pyogenic liver abscess in the elderly. Age Ageing, 19, 199-203. doi:10.1093/ageing/19.3.199
[14] Yetkin, G. and Uludag, M. (2009) Laparoscopic cholecystectomy in elderly patients. Journal of the Society of Laparoendoscopic Surgeons, 13, 587-591. doi:10.4293/108680809X1258998404604
[15] Riall, T.S. and Zhang, D. (2010) Failure to perform cholecystectomy for acute cholecystitis in elderly patients is associated with increased morbidity, mortality, and cost. Journal of the American College of Surgeons, 210, 668-677.
[16] Woodfield, J.C., Rodgers, M. and Windsor, J.A. (2004) Peritoneal gallstones following laparoscopic cholecystectomy: Incidence, complications, and management. Surgical Endoscopy, 18, 1200-1207. doi:10.1007/s00464-003-8260-4
[17] Brockmann, J.G., Kocher, T., Senninger, N.J. and Schürmann, G.M. (2002) Complications due to gallstones lost during laparoscopic cholecystectomy. Surgical Endoscopy, 16, 1226-1232. doi:10.1007/s00464-001-9173-8
[18] Arishi, A.R., Rabie, M.E., Khan, M.S., Sumaili, H., Shaabi, H., Michael, N.T. and Shekhawat, B.S. (2008) Spilled gallstones: The source of an enigma. Journal of the Society of Laparoendoscopic Surgeons, 12, 321-325.
[19] Osman, Y., Ebru, M., Umit, T., Volkan, O., Melih, K., Belma, K., Betul, B., Omer, C. and Atilla, S. (2008) Laparoscopic cholecystectomy in elderly patients. Bratislava Medical Journal, 109, 313-316.
[20] Mayol, J., Martinez-Sarmiento, J., Tamayo, F.J. and Fernández-Represa, J.A. (1997) Complications of laparoscopic cholecystectomy in the ageing patient. Age Ageing, 26, 77-81. doi:10.1093/ageing/26.2.77
[21] Sánchez-Beorlegui, J., Soriano, P., Monsalve, E., Moreno, N., Cabezali, R. and Navarro, A. (2009) Laparoscopic cholecystectomy in octogenarian patients. A comparative study between two geriatric population groups. Cirugía Espa?ola, 85, 246-251.

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.