Original article| Volume 19, ISSUE 2, P118-121, April 1995

Cholelithoptysis: An unusual complication of laparoscopic cholecystectomy

      This paper is only available as a PDF. To read, Please Download here.


      Laparoscopic cholecystectomy is emerging as a preferred surgical method in the treatment of cholecystitis. Decreased morbidity and mortality rates make this an attractive altenative to conventional cholecystectomy. Recently, specific complications including bile duct transection, biloma formation, and liver lacerations have been reported. We report here, however, an unusual case of intraoperative spillage of stones into the introperitoneal cavity. Subsequent erosion through the diophragm resulted in expectoration of stones, or cholelithoptysis.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Haines JD
        Coughing up a stone.
        Pestgrad Med. 1988; 3: 83-91
        • Kozarek R
        • Gannan R
        • Baerg R
        • et al.
        Bile leak after laparoscopic cholecystectomy. Diagnostic and therapeutic application of endoscopic retrograde cholangiopancreatography.
        Arch Intern Med. 1992; 153: 1040-1043
        • Peters JH
        • Gibbons GD
        • Innes JT
        • et al.
        Complications of laparoscopic cholecystectomy.
        Surgery. 1991; 110: 769-777
      1. The Southern Surgeons Club A prospective analysis of 1518 laparoscopic cholecystectomies.
        N Engl J Med. 1991; 324: 1073-1078
        • Ponsky JL
        Complications of laparoscopic cholecystectomy.
        Am J Surg. 1991; 161: 393-395
        • Trerotola SO
        • Lillemore KD
        • Malloy PC
        • et al.
        Percutaneous removal of “dropped” gallstones after laparoscopic cholecystectomy.
        Radiology. 1993; 188: 419-421
        • Lee VS
        • Paulson EK
        • Libby E
        • et al.
        Cholelithoptysis and cholelithorrhea: rare complications of laparoscopic cholecystectomy.
        Gastroenterology. 1993; 105: 1877-1881
        • Bauer AW
        • Winick AB
        • Osborn HH
        Intrapelvic calculi demonstrated in a patient after laparoscopic laser cholecystectomy: a case report.
        J Laparoendosc Surg. 1992; 2: 49-52