OVARIAN CHOLELITHIASIS AFTER LAPAROSCOPIC CHOLECYSTECTOMY ASSOCIATED WITH CHRONIC PELVIC PAIN

Objective: To report a case of chronic pelvic pain associated with ova rian cholelithiasis and discuss prevention and management of this cond ition. Design: Case report. Setting: University hospital. Patient(s): A 39-year-old woman who presented with right lower abdominal pain afte r a laparoscopic cholecystectomy. Intervention(s): Diagnostic laparosc opy followed by laparotomy with lysis of adhesions and removal of thre e to four dozen gallstones. Main Outcome Measure(s): Patient's subject ive report of pain. Result(s): Resolution of patient's pain. Conclusio n(s): Gallstones spilled into the peritoneal cavity may migrate and ad here to the dependent portions of the pelvis, potentially resulting in pelvic pain or infertility. This suggests the importance of removing inadvertently spilled gallstones at the time of surgery or using nonsu rgical methods of gallstone management in reproductive-aged females.