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Case Reports in Pathology
Volume 2017, Article ID 4873273, 3 pages
https://doi.org/10.1155/2017/4873273
Case Report

Intraperitoneal Granulomas Unexpectedly Found during a Cesarean Delivery: A Late Complication of Dropped Gallstones

1Department of Pathology and Laboratories, Fundación Santa Fe de Bogotá, Bogotá D.C., Colombia
2Department of Obstetrics and Gynecology, Fundación Santa Fe de Bogotá, Bogotá D.C., Colombia
3School of Medicine, Universidad de los Andes, Bogotá D.C., Colombia

Correspondence should be addressed to Mauricio A. Palau-Lazaro; oc.gro.bfsf@ualap.oiciruam

Received 4 September 2017; Revised 18 October 2017; Accepted 24 October 2017; Published 23 November 2017

Academic Editor: Peter Kornprat

Copyright © 2017 David A. Suarez-Zamora et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Laparoscopic cholecystectomy is the treatment of choice for patients with symptomatic cholelithiasis. Spillage of gallstones into the abdominal cavity during laparoscopic cholecystectomy occurs in approximately one-third of cases. Although retained gallstones remain asymptomatic, few cases may develop complications. We report the case of a 29-year-old nulliparous woman presenting with several hard nodules in the omentum, raising the possibility of a metastatic disease. Histological examination demonstrated a bile-stained material and a foreign body-type granulomatous response without neoplastic tissue. Our case demonstrates an example of a complication resulting two years after a laparoscopic cholecystectomy that was unexpectedly found during a cesarean delivery. Pathologists should be aware of this entity to avoid interpretation errors.