Gall bladder perforation: report of two cases

Jethwani, Umesh; Singh, Gurjot; Mohil, R. S.; Saroha, Ravi; Chouhan, Jyoti D.; Bansal, Naresh

doi:10.13172/2052-0077-2-5-637

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…Ultrasonography is first investigation done in most of the cases, and may show distended gallbladder (>3.5-4 cm) with thick wall (>3 mm),pericholecystic fluid collection and 'hole sign'which reliably and specifically indicates gall bladder perforation [1].…”

Section: Discussionmentioning

confidence: 99%

“…Stones outside the lumen of gallbladder or a ruptured part of the gall bladder wall are direct indicators of perforated gallbladder whereas abscess outside the gall bladder is indirect indicator [1].…”

Section: Discussionmentioning

confidence: 99%

“…However in type III gallbladder perforation, the cholecysto-enteric fistula needs to be repaired [1].…”

Section: Discussionmentioning

confidence: 99%

“…Perforation of gallbladder is a life threatening complication of acute cholecystitis with increased morbidity and mortality [1]The etiopathogenesisof gallbladder perforation is poorly understood and diagnostic as well as therapeutic dilemmas are commonly faced by the treating surgeons [2]. We present a rare case of gallbladder perforation and biliary peritonitis due to impacted choledocholithiasisin a 50 years old male which caused diagnostic dilemma at presentation but was managed successfully.…”

Section: Introductionmentioning

confidence: 97%

See 3 more Smart Citations

Type 1 Gall Bladder Perforation As A Rare Complication of Isolated Choledocholithiasis

Hajong¹,

Singh²,

Hajong³

et al. 2016

IOSR

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…However in type III gallbladder perforation, the cholecysto-enteric fistula needs to be repaired [1].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Type 1 Gall Bladder Perforation As A Rare Complication of Isolated Choledocholithiasis

Hajong¹,

Singh²,

Hajong³

et al. 2016

IOSR

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Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management

Patel

Jain

Kumar

et al. 2019

Euroasian Journal of Hepato-Gastroenterology

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Introduction: Gallstone disease is one of the most common surgical diseases. Complications associated with cholelithiasis is not uncommon, but gallbladder perforation is a rare complication of acute cholecystitis with cholelithiasis. This gallbladder perforation may present in different ways like free perforation inside peritoneal cavity causing generalized peritonitis, localized collection around gallbladder fossa after perforation and in chronic cases cholecystoenteric fistula. Here we present our experience of this condition with a review of literature for a different presentation of this condition. Materials and methods: This study was done for 2 years, and patients who were diagnosed with gallbladder perforation either preoperatively or intraoperatively were included. Results: There was a total of 16 patient included in the study during this period which were either diagnosed preoperatively or intraoperatively of gallbladder perforation (GBP). Conclusion: GBP, though a rare complication of cholecystitis with high morbidity and mortality, has no specific pathognomic feature and is often misdiagnosed or late diagnosed. Nowadays most cases can be managed with improved diagnostic means and therapeutic modalities (endoscopic, laparoscopic, endostaplers). IntroductIonG allbladder perforation (GBP) is a rare yet potentially fatal condition occurring as a complication of cholecystitis (calculous or acalculous). The clinical presentation of GBP may not be different from uncomplicated acute cholecystitis, or at times its presentation may perplex the clinician. The clinical features of GBP may vary from that of peritonitis to acute cholecystitis. The mortality rate of GBP is reported to be 12-16%. 1 Acute cholecystitis, calculus, or acalculous, can lead to GBP in 6-12% of cases. 2,3 There are many classifications proposed for GBP, but Niemeier classification is most commonly used. In 1934, he categorized GBP perforation in 3 types, type 1 (acute)-it manifests as generalized peritonitis, type 2 (subacute)-localization of fluid at the site of perforation with pericholecystic abscess and type 3 (chronic)-internal (bilio enteric) or external (cholecysto cutaneous) fistula. 4 Here we present our experience of this condition with variable presentation and poorly understood etiology, which is often diagnosed late resulting in high morbidity and mortality rate; dealt by us over a period of 2 years in our institute. The different clinical presentations and its management along with a brief review of the literature available are done in this study. MAterIAls A n d M e t h o d sThis study was done over a period of 2 years and patients who were diagnosed with gallbladder perforation either preoperatively or intraoperatively were included. The clinical presentation, demographic profile, investigations, and management done was recorded. The different possible etiological factors associated with GBP are also discussed. resultsThere was a total of 16 patient included in the study during this period which were either diagnosed preopera...

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Gall bladder perforation: report of two cases

Cited by 2 publications

References 8 publications

Type 1 Gall Bladder Perforation As A Rare Complication of Isolated Choledocholithiasis

Type 1 Gall Bladder Perforation As A Rare Complication of Isolated Choledocholithiasis

Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management

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