Table 1: Brief literature review of gallstone ectopia.
Investigator |
Presenting Symptoms |
Prior Cholecystectomy or Gallbladder
Procedure? |
Time from Surgery to Presentation |
Imaging Findings |
Treatment |
Fontaine 2006 [1] |
Hemoptysis |
Laparoscopic Cholecystectomy |
34 months |
7 cm pulmonary infiltrate
with calcification in RLL |
Right thoracotomy with 2 cm
diaphragmatic resection IV antibiotics |
Zhang 2014 [2] |
Hemoptysis |
Intrahepatic gallstone
removal surgery with partial hepatectomy |
5 months |
4.4 cm solid mass in the RLL
with calcifications |
RLL wedge resection |
Binmahfouz 2016 [3] |
Anorexia and weight loss |
Complicated open
cholecystectomy with gallbladder spillage |
3 years |
2.8 cm PET avid mass with
central calcification in RLL |
RLL wedge resection |
Quail 2014 [4] |
Hemoptysis |
Laparoscopic Cholecystectomy |
5 years |
3 hypodense foci in RLL with
peridiaphragmatic inflammation |
RLL decortication and wedge
resection |
Willekes 2009 [5] |
Fever, right pleuritic chest pain, right upper
quadrant pain |
Laparoscopic Cholecystectomy |
17 months |
RLL fluid collection |
RLL decortication |
Ianniti 2006 [6] |
Generalized malaise |
Laparoscopic Cholecystectomy |
4 years |
Trapped RLL with effusion 3 cm right subphrenic
abscess |
RLL decortication Abdominal abscess drainage IV antibiotics |
Houghton 2005 [7] |
Hemoptysis |
Laparoscopic Cholecystectomy |
3.5 years |
3 cm mass in the RLL
containing calcifications, hilar lymphadenopathy |
Right thoracotomy with wedge
resection of RLL mass |
Werber 2001 [8] |
Massive hemoptysis |
Laparoscopic Cholecystectomy
|
1 year |
4 cm RLL density with right
hemidiaphragm |
Right thoracotomy with RLL
wedge resection Oral antibiotics |
Barnard 1995 [9]
|
Right-sided pleuritic pain |
Laparoscopic Cholecystectomy |
6 months |
Right subphrenic abscess
with calcified bodies |
Right thoracotomy with right
middle lobectomy |
Lee 1993 [10] *2 pts |
Pt 1 and 2: Cholelithoptysis, Pt 1: Malaise |
Laparoscopic Cholecystectomy
|
Pt 1: 4 months Pt 2: 1 year |
Pt 1: Right middle lobe
atelectasis Pt 2: RLL consolidation with
3-5 mm calcified nodules |
Pt 1: Repeat ERCP, abdominal
wound exploration with abx Pt 2: Repeat ERCP and
laparotomy |
PET: Positron Emission Tomography; RLL: Right Lower Lobe; IV:
Intravenous; Pt: Patient; ERCP: Endoscopic Retrograde Cholangiopancreatography.