The list of known causes of granulomatous peritonitis is long and well established. However, as far as we know, only one case about a granulomatous response to escaped gallstones has been reported in the literature. Because spilt gallstone granuloma may clinically resemble tumor de- posits, it should cause the attention of histopathologists. In this report, we present a case of an omental foreign body- type granulomatous reaction to gallstones spilt during a previ- ous laparoscopic cholecystectomy.
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