Conservative management of type 2 gallbladder perforation in a child

Dikshit, Vishesh; Gupta, Rahul; Kothari, Paras; Gupta, Abhaya; Kamble, Ravikiran Shankar; Kesan, Krushnakumar

doi:10.12998/wjcc.v3.i7.671

Cited by 8 publications

(3 citation statements)

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“…Related studies have reported similar clinical presentations, with most demonstrating acute on chronic cholecystitis. However, the symptoms seemed to be of longer duration, unlike our patient, who had abdominal pain for one day with free perforation and peritonitis [ 2 , 7 ].…”

Section: Discussionmentioning

confidence: 88%

“…GBP is a diagnostic and therapeutic challenge due to its non-specific presentation and smaller perforation size. Often USG and AXR misdiagnose GBP as cholelithiasis and pancreatitis, respectively [ 1 , 6 , 7 ]. Classic hole sign of GBP is more frequently witnessed on CT than USG, making CT superior to the other routine investigations [ 1 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recommended management for type 1 GBP, presenting with acute peritonitis, includes exploratory laparotomy and open cholecystectomy [ 16 ]. However, as per existing literature, both type 1 and type 2 perforations have been successfully treated using tube cholecystectomy (percutaneous drainage) without the need for cholecystectomy [ 7 , 15 ]. Additionally, other minimally invasive procedures such as laparoscopic cholecystectomy have been recommended as well [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous Acalculous Gallbladder Perforation in an Adolescent Male: A Case Report and Literature Review

Ajmal¹,

Hasnain²,

Sagheer³

2021

Cureus

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Though a rare event, gallbladder perforation (GBP) can occur in children and adolescents in the absence of pre-existing cholelithiasis. Moreover, type 1 perforation is seldom found in this cohort. Vague clinical presentation and inconclusive routine investigations can often result in delayed diagnosis. Computed tomography (CT) and intraoperative diagnosis should be utilized to timely diagnose and prevent fatal outcomes. Here, we present a rare case of type 1 GBP in an otherwise healthy 15-year-old boy with no known underlying etiology. Our purpose is to emphasize that although rare, a high clinical suspicion of GBP should be kept in mind even when dealing with acute abdomen in a pediatric population for preventing associated mortality.

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Section: Discussionmentioning

confidence: 88%