PMC7992406_01
inflammatory reaction after 1 month surgery
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F1
The computerized tomography (CT) scan revealed: "in the right hypochondrium, at the transverse and internal oblique muscles, a marked thickening with 69x31x26 mm, with a poorly defined margin and with densification of the surrounding fat, and an image of hyper-attenuation with 9mm" (Figure 1).
ultrasound images of the lost gallstone
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F2
These findings were compatible with a migrated stone and small surrounding collection (Figure 2).
abdominal wall abscess surrounding the lost gallstone
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F3
Also, a prominent external anterior parietal thickening measuring 8x6 cm, with two deep calcifications of 10 and 8 mm, one most likely a chondral alteration and the other a possible gallstone" (Figure 3).
A) lost gallstone capture in the abdominal wall; B) foreign body granuloma removed in surgery; C) open foreign body
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F4
At that time, there was no evidence of abscess on the abdominal wall and a foreign body granuloma was found occupying the entire abdominal wall, with a pigmented gallstone in pre-peritoneal position (Figure 4).