Euroasian Journal of Hepato-Gastroenterology

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VOLUME 9 , ISSUE 1 ( January-June, 2019 ) > List of Articles

Original Article

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

Gaurav Patel, Atul Jain, Ram B Kumar, Nirbhay Singh, Tanweer Karim, Raghav Mishra

Keywords : Cholecystectomy, Cholecystitis, Fistula, Gallbladder perforation

Citation Information : Patel G, Jain A, Kumar RB, Singh N, Karim T, Mishra R. Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management. Euroasian J Hepatogastroenterol 2019; 9 (1):14-19.

DOI: 10.5005/jp-journals-10018-1289

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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).


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