Laparoscopic drainage of sub phrenic abscess

Ketan Vagholkar, Amish Pawanarkar, Balvinder Yadav, Aditya Deshpande, Suvarna Vagholkar


Sub phrenic collections are a common sequel to hepatobiliary surgery. Prompt diagnosis and treatment are necessary to reduce the morbidity and mortality to a bare minimum. Contrast enhanced CT (CECT) scan is the best imaging modality to identify the location and approximate size of the collection. Laparoscopic drainage is the best option for treating sub phrenic abscesses. A case of a sub phrenic abscess drained laparoscopically is presented to highlight the efficacy of this approach.


Sub phrenic abscess, Dropped gall stones, Laparoscopic treatment

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Sluis VRF. Subphrenic abscess. Surg Gynecol Obstet. 1984;158(5):427-30.

Nayak L, Menias CO, gayer G. Dropped gall stones: spectrum of imaging findings, complications and diagnostic pitfalls. Br J Radiol. 2013;86(1028):20120588.

Lugt VJC, Graaf PW, Dallinga RJ, Stasssen L. Abscess formation due to lost stones during laparoscopic cholecystectomy. Ned Tijschr Geneeskd. 2005;149(48):2683-6.

Vagholkar K, Pawanarkar A, Vagholkar S. Dropped gall stones: an entity in evolution. Int Surg J. 2016;3:1048-50.

Szijarto A, Levay B, Kupcsulik P. Unusual consequences of incomplete laparoscopic cholecystectomy. Eur J Gastroenetrol Hepatol. 2014;26(3): 357-60.

Lam SC, Kwok SP, Leong HT. Laparoscopic intracavitary drainage of sub phrenic abscess. J Laparendosc Adv Surg Tech A. 1998;8(1):57-60.