J Korean Surg Soc.
2008 Dec;75(6):407-410.
Gallbladder Perforation without Gallstones or Cholecystitis
- Affiliations
-
- 1Department of Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea. jwchoi@chungbuk.ac.kr
- 2Department of Pathology, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
- 3Department of Radiology, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
Abstract
- A case of gallbladder perforation without cholecystitis or trauma is described herein. The patient was a 74-year-old woman who initially presented with right lower quadrant pain of the abdomen. A laparotomy was performed with the impression of an acute appendicitis at a local clinic. However, the appendix was normal and a large amount of bile was noted in the peritoneal cavity. The patient was referred to our hospital. An exploratory laparotomy was performed with the suspicion of a hollow viscous perforation. A pin point perforation of the gallbladder fundus was identified. There were no gallstones or definite inflammation of the gallbladder wall. Although gallbladder perforation without cholecystitis or trauma is rare, gallbladder perforation without cholecystitis should be considered in elderly patients with bile peritonitis of unknown etiology.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Acute Cholecystitis with a Perforation Complicating Endoscopic Retrograde Cholangiopancreatography
- A Case of Gallbladder Perforation Treated By Percutaneous Transhepatic Cholecystic Drainage and Percutaneous Peritoneal Drainage
- Ultrastructural Changes in Human Gallbladder Epithelium in Acalculous and Calculous Cholecystitis
- Hemorrhagic cholecystitis: report of a case
- A Case of Gallbladder Perforation Complicated by Acalculous Cholecystitis due to Non-Typhoidal Salmonella
