Intrahepatic Type II Gall Bladder Perforation Secondary to Acute Acalculous Cholecystitis

Koculen, Vimaleswaran; Jayarajah, Umesh; Ambawatte, Anil P

doi:10.1155/2020/5435921

Cited by 3 publications

(3 citation statements)

References 5 publications

(16 reference statements)

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“…6 Its incidence varies in different studies and also can be seen in patients with acalculous cholecystitis which is very rare. 7 Literature also reported the overall higher incidence of GBP in acalculous cholecystitis as compared to calculus cholecystitis. 8 GBP with cholecystoenteric fistula rarely encounter in the surgical practice and the majority of cases are diagnosed during surgery, 9,10 whereas, in this study GBP, was associated with cholelithiasis in all cases and were diagnosed preoperatively or prior intervention.…”

Section: Discussionmentioning

confidence: 95%

Diagnosis and Management of Gallbladder Perforation: A Single-Center Experience

Bhattarai¹,

Devkota²,

Shrestha³

et al. 2021

JCMC

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Background: Gall bladder perforation is one of the uncommon serious complications of cholelithiasis and cholecystitis with high morbidity and mortality. Presentation of gall bladder perforation may vary from that of similar to acute calculus cholecystitis, perforation peritonitis, palpable gall bladder mass to gall stone ileus. Here, we present our experience on the diagnosis and management of the case of gall bladder perforation. Methods: This is the retrospective review of the records of 24 patients who received medical and/or surgical treatment with the diagnosis of gall bladder perforation at Chitwan Medical College from January 2016 to December 2020. All the patients with suspicion of gall bladder perforation underwent contrast enhanced CT scan before an operation or prior intervention.The parameters including age, gender, type of perforation, comorbidities, symptoms, diagnostic procedures, treatment modalities, morbidity, and mortality were evaluated. Results: A total of 24 patients were included in the study during the study period. Among them 62.5% (n=15) were male and 37.5% (n=9) were female.The median age of presentation was 69 years. One patient (4.1%) had type I, 87.5% (n= 21) had type II, and 8.3 % (n=2) had type III gall bladder perforation. CT scan visualizes the defect in gall bladder wall and identifies perforation in all cases. Operative management was done in 12.5% (n=3) patients and percutaneous drainage of gallbladder was done in 87.5% (n=21). The comorbid disease was present in 83.3 % (n=20) of the cases. The median duration of hospital stay was 7 days and there was no mortality. Conclusions: Gall bladder perforation is commonly seen in patients with acute cholecystitis and associated comorbidities. Type II gall bladder perforation is the most common type. Contrast-enhanced CT has an important role in diagnosing gallbladder perforation. Early suspicion, diagnosis, and appropriate management are of crucial importance for a better outcome in patients with gall bladder perforation.

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Section: Discussionmentioning

confidence: 95%

Diagnosis and Management of Gallbladder Perforation: A Single-Center Experience

Bhattarai¹,

Devkota²,

Shrestha³

et al. 2021

JCMC

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“…Imaging modalities in the form of contrast-enhanced CT scan of the abdomen can help to clinch the early diagnosis. Magnetic resonance cholangiopancreatography (MRCP) is an important investigation when an injury to the biliary tract is suspected [ 9 ]. When damage to the gall bladder is confirmed with the imaging modality, in most cases, cholecystectomy is the treatment of choice.…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of a Biliary Tract Injury During Percutaneous Nephrolithotomy

Bhardwaj,

Chatterjee,

Deb

2023

Cureus

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Percutaneous nephrolithotomy (PCNL) is a well-established treatment option for the management of kidney stones. It has evolved over time with advances in surgical technique and technology. Even for the most experienced urologists, both major and minor complications may be encountered during PCNL. Timely diagnosis and appropriate management are the keys to a favourable outcome. Here, we discuss the case of a woman aged 34 years, who underwent PCNL for a right renal staghorn stone and had an accidental puncture of the gall bladder. Post-operatively, the patient recovered well with conservative management.

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“… 3 Both Contrast-enhanced CT scans of the abdomen and Magnetic resonance cholangiopancreatography (MRCP) are imaging techniques for the diagnosis of biliary tract injuries. 4 If the biliary tract damage is confirmed, treatment can be performed with minimally invasive procedures such as endoscopic retrograde cholangiopancreatography (ERCP), but in cases where damage to the gallbladder happened, cholecystectomy is the preferred treatment. Cholecystectomy can be performed with open surgery or laparoscopy.…”

Section: Discussionmentioning

confidence: 99%