Gallstone in abdominal wall - A complication of laparoscopic cholecystectomy

A 39-year-old woman presented with abdominal wall mass 9 years after she un derwent laparoscopic cholecystectomy for symptomatic gallstones. After surg ical resection, a pathologic examination identified an abscess cavity withi n the abdominal wall that was surrounded by a wide, diffuse, poorly defined wall of dense fibrous tissue. An examination did not show neoplastic tissu e. The cavity was bile-stained and contained a 2.5-cm gallstone. This case shows a complication of laparoscopic cholecystectomy. Gallstones spilled du ring the extraction of the gallbladder through the abdominal wall incision may lead to a reactive process that clinically and microscopically may rese mble a fibro-proliferative disorder, including a neoplastic process. This c omplication of laparoscopic cholecystectomy is rare. Pathologists must be a ware of its occurrence because examination of the solid fibrous wall may le ad to diagnoses of reactive or neoplastic fibro-proliferative processes.