RESUMO
Blunt abdominal trauma is associated with a bladder injury in 1.6% of cases. The patient's conditions and the specific diagnosis determine the best surgical approach, be it open, laparoscopic or robotic surgery. We present the diagnosis and laparoscopic management of a 31-year-old patient with intraperitoneal bladder rupture due to a traffic accident.
RESUMO
La perforación de la vesícula biliar es una complicación frecuente durante la colecistectomía laparoscópica y puede asociarse con cálculos caídos a la cavidad peritoneal, que a veces no son recuperados. Esto no ha sido considerado un problema relevante pero pueden presentarse complicaciones con cuadros clínicos inespecíficos que se manifiestan meses o años después de la cirugía y requieren tratamiento quirúrgico. Se presenta el caso de un paciente con absceso intraabdominal secundario a un cálculo no recuperado. Se revisa el manejo y la prevención de esta complicación.
Gallbladder perforation is a frequent complication during laparoscopic cholecystectomy and can be associated with dropped gallstones to the peritoneal cavity that sometimes are unretrieved. This issue has not been considered a relevant problem, but complications can occur with nonspecific clinical presentation, showing up months or years after surgery and sometimes require surgical treatment. A case report is presented of a patient with an intraabdominal abscess secondary to an unretrieved gallstone. Management and prevention are also reviewed.