“Target sign” from dropped gallstones after laparoscopic cholecystectomy

Isolated case reports and small series in radiologic and surgical literature relay the different modes of clinical presentation that arise secondary to spillage of gallstones during surgery. We report a case of a 70-year-old female who presented with a 2-week history of right-sided abdominal pain. C...

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Autores principales:	Wendy Kendera, MD, Neel Shroff, MD, Esraa Al-Jabbari, MD, Maggie Barghash, MD, Arya Bagherpour, MD, Peeyush Bhargava, MD MBA
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Dropped gallstones Laparoscopic cholecystectomy Computed Tomography Target Sign Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/b1c1108409104e2e93ccb35253de38f7
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id	oai:doaj.org-article:b1c1108409104e2e93ccb35253de38f7
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spelling	oai:doaj.org-article:b1c1108409104e2e93ccb35253de38f72021-11-30T04:14:57Z“Target sign” from dropped gallstones after laparoscopic cholecystectomy1930-043310.1016/j.radcr.2021.09.070https://doaj.org/article/b1c1108409104e2e93ccb35253de38f72022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007093https://doaj.org/toc/1930-0433Isolated case reports and small series in radiologic and surgical literature relay the different modes of clinical presentation that arise secondary to spillage of gallstones during surgery. We report a case of a 70-year-old female who presented with a 2-week history of right-sided abdominal pain. CT (computerized tomography) imaging findings demonstrated multiple peripherally enhancing hypoattenuating lesions in the right subphrenic space abutting the hepatic dome, concerning for abscesses. The lesions were found to have a characteristic central hyperattenuating focus (Target Sign) consistent with gallstones, as identified on a pre-cholecystectomy CT, resulting in the early diagnosis and treatment of dropped gallstones from prior laparoscopic cholecystectomy approximately 1 year prior to presentation.Wendy Kendera, MDNeel Shroff, MDEsraa Al-Jabbari, MDMaggie Barghash, MDArya Bagherpour, MDPeeyush Bhargava, MD MBAElsevierarticleDropped gallstonesLaparoscopic cholecystectomyComputed TomographyTarget SignMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 23-26 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dropped gallstones Laparoscopic cholecystectomy Computed Tomography Target Sign Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Dropped gallstones Laparoscopic cholecystectomy Computed Tomography Target Sign Medical physics. Medical radiology. Nuclear medicine R895-920 Wendy Kendera, MD Neel Shroff, MD Esraa Al-Jabbari, MD Maggie Barghash, MD Arya Bagherpour, MD Peeyush Bhargava, MD MBA “Target sign” from dropped gallstones after laparoscopic cholecystectomy
description	Isolated case reports and small series in radiologic and surgical literature relay the different modes of clinical presentation that arise secondary to spillage of gallstones during surgery. We report a case of a 70-year-old female who presented with a 2-week history of right-sided abdominal pain. CT (computerized tomography) imaging findings demonstrated multiple peripherally enhancing hypoattenuating lesions in the right subphrenic space abutting the hepatic dome, concerning for abscesses. The lesions were found to have a characteristic central hyperattenuating focus (Target Sign) consistent with gallstones, as identified on a pre-cholecystectomy CT, resulting in the early diagnosis and treatment of dropped gallstones from prior laparoscopic cholecystectomy approximately 1 year prior to presentation.
format	article
author	Wendy Kendera, MD Neel Shroff, MD Esraa Al-Jabbari, MD Maggie Barghash, MD Arya Bagherpour, MD Peeyush Bhargava, MD MBA
author_facet	Wendy Kendera, MD Neel Shroff, MD Esraa Al-Jabbari, MD Maggie Barghash, MD Arya Bagherpour, MD Peeyush Bhargava, MD MBA
author_sort	Wendy Kendera, MD
title	“Target sign” from dropped gallstones after laparoscopic cholecystectomy
title_short	“Target sign” from dropped gallstones after laparoscopic cholecystectomy
title_full	“Target sign” from dropped gallstones after laparoscopic cholecystectomy
title_fullStr	“Target sign” from dropped gallstones after laparoscopic cholecystectomy
title_full_unstemmed	“Target sign” from dropped gallstones after laparoscopic cholecystectomy
title_sort	“target sign” from dropped gallstones after laparoscopic cholecystectomy
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/b1c1108409104e2e93ccb35253de38f7
work_keys_str_mv	AT wendykenderamd targetsignfromdroppedgallstonesafterlaparoscopiccholecystectomy AT neelshroffmd targetsignfromdroppedgallstonesafterlaparoscopiccholecystectomy AT esraaaljabbarimd targetsignfromdroppedgallstonesafterlaparoscopiccholecystectomy AT maggiebarghashmd targetsignfromdroppedgallstonesafterlaparoscopiccholecystectomy AT aryabagherpourmd targetsignfromdroppedgallstonesafterlaparoscopiccholecystectomy AT peeyushbhargavamdmba targetsignfromdroppedgallstonesafterlaparoscopiccholecystectomy
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“Target sign” from dropped gallstones after laparoscopic cholecystectomy

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