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Case Reports in Surgery
Volume 2018 (2018), Article ID 1341572, 4 pages
Case Report

Free Intraperitoneal Gallstone: An Unusual Case of Small Bowel Obstruction from Extrinsic Compression

1Department of Surgery, Logan Hospital, Meadowbrook, QLD, Australia
2Griffith University, Brisbane, QLD, Australia
3University of Queensland, Brisbane, QLD, Australia

Correspondence should be addressed to Kor Woi Tiang

Received 28 August 2017; Revised 14 November 2017; Accepted 13 December 2017; Published 8 January 2018

Academic Editor: Gabriel Sandblom

Copyright © 2018 Kor Woi Tiang 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.


Laparoscopic cholecystectomy (LC) is preferred in the treatment of symptomatic cholecystolithiasis. Gallstone spillage is not uncommon, and there have been reports of associated complications. We report a case of a free intraperitoneal gallstone, left inadvertently during LC, which developed an inflammatory phlegmon with abscess containing gallstone, causing extraluminal compression on the distal ileum, resulting in small bowel obstruction. This complication in particular is almost unheard of. The patient underwent laparoscopic drainage of abscess and retrieval of gallstone, which relieved the obstruction. Clinicians, therefore, need to keep an open mind in the workup for bowel obstruction. During LC, gallstone spillage should be prevented and retrieved whenever possible to minimize early and late complications associated with it.