Introduction : Laparoscopic cholecystectomy is the gold standard for gallstone disease and worldwide procedure. The spillage of gallstones, rarely makes late complication but may cause major complications.

Methods : Retrospective review of medical records was performed for the patient who had suffered from a spilled stone.

Results : A 46-year-old man came to my center for right flank pain. He checked abdominal Computed tomography(CT) in local clinic, the clinic doctor accessed to liver abscess and referred to my center. First my clinic hepatologist check abdomen sonography for the abscess aspiration. The radiologist found a big stone in abscess poket. He did laparoscopic cholecystectomy 2years ago. The cause of his abdominal pain was fluid collection around stone. I decided to operate for remove the stone. We did laparoscpic exploration, removed abscess and found a big gallstone(18mm). The patient was discharged on the 3rd post-operative day. We followed up abdominal CT on 24th post-operative days and Perihepatic fluid collection was decreased and the patient is free from abdominal pain.

Conclusions : When we do laparoscopic cholecystectomy, we must try to avoid gallbladder perforation and try to minimize spillage of gallstones.