Peritoneal lithiasis and cliptomas following laparoscopic cholecystectomy.

A review was made of five patients with post-laparoscopic cholecystectomy peritoneal soiling with clips and/or stone. Three patients were symptomatic with recurrent abdominal pain or back pain. One of these had clips alone, one had clips and stone and the third had stones alone. The location of the stones in the pelvis and right iliac fossa created confusion in the diagnosis, simulating ureteric calculi and appendicitis, respectively. Surgical operation revealed granulomas around the stones. The consequences of peritoneal clips is not yet known. However, peritoneal lithiasis and potential complications should be considered as a differential of abdominal and pelvic calculi.