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Laparoscopic cholecystectomy is a widely used treatment method for most cholelithiasis and is a relatively safe procedure. Foreign body granulomatous reaction to bile or gallstone spillage during laparoscopic cholecystectomy has rarely been reported. We report a case of bile granuloma after laparoscopic cholecystectomy, which mimicked peritoneal seeding. A 59-year-old Korean man presented with right upper quadrant pain. He underwent laparoscopic cholecystectomy for acute cholecystitis with cholelithiasis. Pathologic examination revealed an incidental adenocarcinoma invading the lamina propria with acute cholecystitis and cholelithiasis. After 3 months, follow-up abdominal computed tomography revealed a subhepatic nodule, which showed hypermetabolism on positron emission tomography–computed tomography. Suspecting localized peritoneal seeding, wedge resection of the liver, wedge resection of the transverse colon, and omentectomy were performed. Pathologic examination of the resected specimens revealed multiple bile granulomas. Awareness of bile granuloma mimicking malignancy is noteworthy for patient management to reduce unnecessary procedure during postoperative surveillance.

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권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
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참고문헌 (17건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Townsend CM, Beauchamp RD, Evers BM, Mattox K. Sabiston textbook of surgery. 20th ed. Philadelphia: Saunders Elsevier, 2017; 1493-500. 미소장
2 Spilled gallstones mimicking a retroperitoneal sarcoma following laparoscopic cholecystectomy. 네이버 미소장
3 GRANULOMATOUS PERITONITIS AFTER LAPAROSCOPIC CHOLECYSTECTOMY MIMICKING PELVIC ENDOMETRIOSIS 네이버 미소장
4 Granulomatous Peritonitis After Laparoscopic Cholecystectomy 네이버 미소장
5 Peritoneal bile granulomas identified at Cesarean section and mimicking disseminated malignancy. 네이버 미소장
6 Radunovic M, Lazovic R, Popovic N, et al. Complications of laparoscopic cholecystectomy: our experience from a retrospective analysis. Open Access Maced J Med Sci 2016; 4: 641-6. 미소장
7 Fate of lost gallstones during laparoscopic cholecystectomy. 소장
8 Routine intraoperative aspiration of gallbladder during laparoscopic cholecystectomy 네이버 미소장
9 The impact of gallbladder aspiration during elective laparoscopic cholecystectomy: a prospective randomized study 네이버 미소장
10 A Meta-analysis of Outcomes After Routine Aspiration of the Gallbladder During Cholecystectomy 네이버 미소장
11 Evaluation of the Incidence of Complications of Lost Gallstones During Laparoscopic Cholecystectomy 네이버 미소장
12 Lost gallstones in laparoscopic cholecystectomy: all possible complications 네이버 미소장
13 Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones. 네이버 미소장
14 Post-nephrectomy foreign-body granuloma in the retroperitoneum mimicking lymph node metastasis of renal cell cancer. 네이버 미소장
15 Granuloma Mimicking Local Recurrence on PET/CT after Liver Resection of Colorectal Liver Metastasis: A Case Report. 네이버 미소장
16 Erdog˘an D, Bozkurt C, Ozmen O, Boduroglu E, Sahin G. Foreign body reaction with high standard uptake value level in 18-FDG PET/CT mimicking relapse in an 8-year-old patient diagnosed with Hodgkin lymphoma: a case report. European J Pediatr Surg Rep 2013; 1: 60-2. 미소장
17 Foreign Body Granulomas Simulating Recurrent Tumors in Patients Following Colorectal Surgery for Carcinoma: a Report of Two Cases 소장