Risk factors and outcomes in acute perforated gallbladder: A retrospective cohort study

Albisher, Hassan M.; Foula, Mohammed S.; Alghusnah, Elham S.; Abdelhafiz, Tarig

doi:10.1016/j.asjsur.2022.09.109

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…In previous studies, the clinical manifestations mainly included right upper quadrant pain, jaundice, nausea, vomiting, leucocytosis, pericholecystic effusion and peritoneal abscess on imaging, and other symptoms similar to those of acute cholecystitis. 3 , 7 Uncommon manifestations included right lower abdominal pain, high fever, abdominal discomfort, anorexia, normal white blood cell counts and diarrhoea. 6 , 8 , 9 Type II GBP may be misdiagnosed as acute appendicitis or gastrointestinal perforation; 8 and few patients present with septic shock as the first symptom.…”

Section: Discussionmentioning

confidence: 99%

Unusual case of Niemeier type II gallbladder perforation: case report and literature review

Liu,

Song,

Guan

et al. 2024

J Int Med Res

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Niemeier type II gallbladder perforation (GBP) is caused by inflammation and necrosis of the gallbladder wall followed by bile spilling into the abdominal cavity after perforation. The gallbladder then becomes adhered to the surrounding inflammatory tissue to form a purulent envelope, which communicates with the gallbladder. At present, the clinical characteristics and treatment of type II GBP are not well understood and management of GBP remains controversial. Type II GBP with gastric outlet obstruction is rare and prone to misdiagnosis and delayed treatment. Recent systematic reviews report that percutaneous drainage does not influence outcomes. In this current case, due to the high risk of bleeding and accidental injury, as well as a lack of access to safely visualize the Calot’s triangle, the patient could not undergo laparoscopic cholecystectomy, which would have been the ideal option. This current case report presents the use of percutaneous laparoscopic drainage combined with percutaneous transhepatic gallbladder drainage in a patient with type II GBP associated with gastric outlet obstruction. A review of the relevant literature has been provided in addition to a summary of the clinical manifestations and treatments for type II GBP.

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Section: Discussionmentioning

confidence: 99%

Unusual case of Niemeier type II gallbladder perforation: case report and literature review

Liu,

Song,

Guan

et al. 2024

J Int Med Res

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“…Acute cholecystitis poses significant risk due to several serious complications, including gangrenous cholecystitis, hemorrhagic cholecystitis, emphysematous cholecystitis, gallstone ileus, and gallbladder perforation [ 1 ]. Gallbladder perforation is a rare complication that occurs due to a bladder wall defect, and it has an estimated incidence of 2% of all gallbladder pathologies [ 2 ]. The most common site of gallbladder perforation is the fundus, as it is the most distal part of the blood supply to the organ [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

A Case Report of Sepsis Secondary to Perforated Cholecystitis in the Presence of Severe Aortic Stenosis: Diagnosis and Management

Rahman,

Collignon,

Smith

2024

Cureus

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Gallbladder perforation is a rare complication of acute cholecystitis that is associated with significant morbidity and mortality. Many cases of gallbladder perforation are not diagnosed until surgery, as the physical symptoms closely mimic acute cholecystitis. Gallbladder perforation is most common among older males with associated comorbidities, and preoperative assessment of comorbidities, particularly cardiac, is critical to determine the appropriate clinical course. We report a case of a 77-year-old male who presented initially with low blood pressure and right upper quadrant pain (RUQ) after not feeling well for five days. CT of the abdomen/pelvis with IV contrast demonstrated acute perforated cholecystitis, and general surgery was consulted for a cholecystectomy. Due to the patient’s past medical history of severe aortic stenosis (AS), cholecystectomy was deferred and a cholecystostomy tube was placed by interventional radiology. This report aims to provide an example of a case of perforated cholecystitis with sepsis and how it can be diagnosed and managed non-surgically in the presence of pre-existing severe AS.

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“…Biliary peritonitis is generally observed in patients with atherosclerotic heart disease, diabetes, malignant neoplasms, cirrhosis, and immunosuppressive treatment, without a history of chronic cholecystitis. Contrary to localized abscess GBP, which has been more frequently associated in patients with a prolonged history of gallstones [7][8][9][10][11].…”

mentioning

confidence: 99%

Comment on “Evaluation of Patients with Gallbladder Perforation: Experience at a Tertiary Centre”

Alcocer-Mey,

Quiroga-Garza

2023

J Sur Anesth Res

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Risk factors and outcomes in acute perforated gallbladder: A retrospective cohort study

Cited by 3 publications

References 14 publications

Unusual case of Niemeier type II gallbladder perforation: case report and literature review

Unusual case of Niemeier type II gallbladder perforation: case report and literature review

A Case Report of Sepsis Secondary to Perforated Cholecystitis in the Presence of Severe Aortic Stenosis: Diagnosis and Management

Comment on “Evaluation of Patients with Gallbladder Perforation: Experience at a Tertiary Centre”

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