Khalid Hussain

Parietolith: A Late Complication of Spilled Gallstones.

Sub-costal port site abscess and sinus formation secondary to spilled gallstones during laparoscopic cholecystectomy is extremely rare, however such complications at umbilical port site has been described in literature. We present one such case in an elderly diabetic female. Spilled stones migrating to the port site should be kept in mind in a patient presenting with chronic discharging sinus at any of the laparoscopic port sites after laparoscopic cholecystectomy.

Laparoscopic Management of Primary Segmental Omental Infarction Mimicking Acute Appendicitis.

Primary Segmental Infarction (PSI) of the greater omentum is rare. It usually presents as acute appendicitis and the diagnosis is made per operatively. We report a case of 22 years male who presented with history and clinical features suggestive of acute appendicitis. Laparoscopic appendicectomy was planned but during diagnostic laparoscopic phase, omentum was found infarcted in the right lower abdomen and the appendix was normal. Laparoscopic omentectomy of the infarcted segment was done and the patient had smooth recovery.