Gallbladder perforation – Rolling Stones

Abstract

We report a case of a 93-year-old woman diagnosed with perforated acute cholecystitis. On the abdominal plain film, two calcified gallstones could be seen in the pelvis, which had rolled from the gallbladder into the Douglas pouch, mimicking calcified uterine leiomyomas. Gallstone spillage is rare and, if not recognized, may cause several complications like abscesses, intestinal adhesions, infertility or dyspareunia. A brief review of the literature is provided.