Dropped Gallstones Causing Transdiaphragmatic Migration and Thoracic Empyema

We discuss the case of a 72-year-old female, Asiatic patient who had transdiaphramatic migration of stones after laparoscopic cholecystectomy for a gangrenous cholecystitis. The patient presented with a right thoracic empyema and underwent thoracic decortication. The pertinent literature is reviewed. Pathology and clinical presentation are discussed.