Diagnosis of Gallbladder Perforation—a Puzzle!

Chowksey, Sanjeev R.; Baghel, Hiteshwari; Sharma, Priyank; Singh, Balvir

doi:10.1007/s12262-013-0826-3

Cited by 7 publications

(13 citation statements)

References 11 publications

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“…Our study included with mean age 60 years, 57.8% were either known to be diabetic, and this agrees with Morris et al that found it common in diabetic and cardiac patients and elderly patients are especially susceptible to GBP [1]. Acute uncomplicated cholecystitis is more common in females, but GBP is more common in males [8]. However, in this study, a higher incidence of GBP was observed in females (males to females = 8:11).…”

Section: Discussionsupporting

confidence: 90%

Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

Harraz

Abou-Issa

2020

Egypt J Radiol Nucl Med

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Background: Although gall bladder perforation (GBP) is not common, it is considered a life-threating condition, and the possibility of occurrence in cases of acute cholecystitis must be considered. The aim of this study was to assess the role of multi-slice computed tomography (MSCT) in the assessment of GBP.Results: It is a retrospective study including 19 patients that had GBP out of 147, there were 11 females (57.8%) and 8 males (42.1%), aged 42 to 79 year (mean age 60) presented with acute abdomen or acute cholecystitis. All patients were examined with abdominal ultrasonography and contrast-enhanced abdominal MSCT after written informed consent was obtained from the patients. This study was between January and December 2018. Patients with contraindications to contrast-enhanced computed tomography (CT) (pregnancy, acute kidney failure, or allergy to iodinated contrast agents) who underwent US only were excluded. Patients with other diagnoses, such as acute diverticulitis of the right-sided colon or acute appendicitis, were excluded. The radiological findings were evaluated such as GB distention; stones; wall thickening, enhancement, and defect; pericholecystic free fluid or collection; enhancement of liver parenchyma; and air in the wall or lumen. All CT findings are compared with the surgical results. Our results revealed that the most important and diagnostic MSCT finding in GBP is a mural defect. Nineteen patients were proved surgically to have GBP.Conclusion: GBP is a rare but very serious condition and should be diagnosed and treated as soon as possible to decrease morbidity and mortality. The most accurate diagnostic tool is the CT, MSCT findings most specific and sensitive for the detection of GBP and its complications.

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Section: Discussionsupporting

confidence: 90%

Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

Harraz

Abou-Issa

2020

Egypt J Radiol Nucl Med

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“…Nonetheless, the demonstration of the fundus is of paramount importance. As shown here, and by others [3,4,14,15], most GB perforations involve this area. The propensity of the fundus to perforate is related mainly to a relatively poor blood supply [3,15].…”

Section: Accepted Manuscriptsupporting

confidence: 85%

Diagnosis of gallbladder perforation by ultrasound

et al. 2015

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“…formation of the abscess can be detected early using abdominal US. 5,6 In unclear or difficult cases, such as ours, an abdominal CT scan can provide more detailed information. 6 In most cases of gallbladder perforation the optimal treatment option is cholecystectomy.…”

Section: Discussionmentioning

confidence: 97%

“…5,6 In unclear or difficult cases, such as ours, an abdominal CT scan can provide more detailed information. 6 In most cases of gallbladder perforation the optimal treatment option is cholecystectomy. However, if a patient is at high surgical risk, placement of a percutaneous, transhepatic drainage tube combined with the administration of antibiotics may provide definitive therapy.…”

Section: Discussionmentioning

confidence: 97%

Acute calculous cholecystitis complicated by a large anterior abdominal wall abscess

2022

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We present a 74-year-old male patient with a rare case of acute calculous cholecystitis that was complicated by formation of a large anterior abdominal wall abscess due to neglection. The primary management consisted of antibiotic therapy and two consequent procedures of abscess drainage. Cholecystectomy was postponed due to the massive volume of the abscess which posed a great risk for complications if the patient were to be operated on at that point, therefore an elective open cholecystectomy was performed 3 months later. This case is a good example for the management of such a rare and interesting complication.

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Diagnosis of Gallbladder Perforation—a Puzzle!

Cited by 7 publications

References 11 publications

Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

Diagnosis of gallbladder perforation by ultrasound

Acute calculous cholecystitis complicated by a large anterior abdominal wall abscess

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