Indian Journal of Surgery

, Volume 75, Supplement 1, pp 261–265 | Cite as

An Unusual Presentation of Gall Bladder Perforation with Hepatic Subcapsular Collection

  • Aaditya S. Bhatwal
  • S. R. Deolekar
  • Sangram S. Karandikar
Case Report
First Online:
Received:
Accepted:

Abstract

A 60 year old male presented with Gall Bladder perforation in a case of calculous cholecystitis with perforation at the tip of the fundus. The perforation lead to collection of bile under the liver capsule. This case is unusual as clinically suggestive of liver abscess and the perforation didn’t lead to biliary peritonitis. Gall Bladder perforation is life threatening event associated with increased morbidity and mortality. Cholecystectomy with peritoneal lavage is the treatment of choice.

Keywords

Gall bladder perforation Hepatic sub-capsular collection Complications of Cholelithiasis 
This is a preview of subscription content, log in to check access.

References

  1. 1.
    Isch J, Finneran JC, Nahrwold DL (1971) Perforation of the gall-bladder. Am J Gastroenterol 55:451–458PubMedGoogle Scholar
  2. 2.
    Bennet GL, Balthazar EJ (2003) Ultrasound and CT evaluation of emergent gallbladder pathology. Radiol Clin N Am 41:1203–1216CrossRefGoogle Scholar
  3. 3.
    Strohl EL, Diffenbaugh WG, Baker JH, Chemma MH (1962) Collective reviews: gangrene and perforation of the gallbladder. Int Abstr Surg 114:1–7Google Scholar
  4. 4.
    Cope Z (1970) A sign of gallbladder disease. BMJ 3:147–148PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Glenn F, Moore SW (1942) Gangrene and perforation of the wall of the gallbladder. Arch Surg 44:677–686CrossRefGoogle Scholar
  6. 6.
    Madrazo BL, Francis I, Hricak H, Sandler MA, Hudak S, Gitschlag K (1982) Sonographic findings in perforation of the gallbladder. AJR Am J Roentgenol 139:491–496PubMedCrossRefGoogle Scholar
  7. 7.
    Meire H, Cosgrove D, Dewbury K, Wilde P (1993) Gallbladder pathology. In: Cosgrove D, Meire H, Dewbury K (eds) Abdominal and general ultrasound. Longman Group, pp. 195–198Google Scholar
  8. 8.
    Martin JD Jr, Stone HH (1957) Perforations of the gallbladder; a report of three cases. Geriatrics 12:467–480, MedlineGoogle Scholar
  9. 9.
    Harland C, Mayberry JF, Toghill PJ (1985) Type 1 free perforation of the gallbladder. J R Soc Med 78:725–778PubMedCentralPubMedGoogle Scholar
  10. 10.
    Ong CL, Wong TH, Rauff A (1991) Acute gallbladder perforation—a dilemma in early diagnosis. Git 32:956–958Google Scholar
  11. 11.
    Kim PN, Lee KS, Kim IY, Bae WK, Lee BH (1994) Gallbladder perforation: comparison of US findings with CT. Abdom Imaging 19:239–242PubMedCrossRefGoogle Scholar
  12. 12.
    Sood B, Manoj J, Khandelwal N et al (2002) MRI of perforated gallbladder. Aust Radiol 46:438–440CrossRefGoogle Scholar
  13. 13.
    Williams NF, Scobie TK (1976) Perforation of the gallbladder: analysis of 19 cases. Can Med Assoc J 115:1223–1225PubMedCentralPubMedGoogle Scholar
  14. 14.
    Swayne LC, Filippone A (1990) Gallbladder perforation: correlation of cholescintigraphic and sonographic findings with the Niemeier classification. J Nucl Med 31(12):1915–1920PubMedGoogle Scholar
  15. 15.
    Soiva M, Pamilo M, Paivansalo M, Taavitsainen M, Suramo I (1988) Ultrasonogrphy in acute gallbladder perforation. Acta Radiol 29:41–44PubMedCrossRefGoogle Scholar
  16. 16.
    Johnson LB (1987) The importance of early diagnosis of acute acalculus cholecystitis. Surg Gynecol Obstet 164:197–203PubMedGoogle Scholar

Copyright information

© Association of Surgeons of India 2012

Authors and Affiliations

  • Aaditya S. Bhatwal
    • 1
    • 2
  • S. R. Deolekar
    • 1
  • Sangram S. Karandikar
    • 1
  1. 1.Dr. D. Y. Patil Medical College, Hospital and Research CentreNavi MumbaiIndia
  2. 2.Department of General SurgeryDr. D. Y. Patil Hospital & Research CentreNavi MumbaiIndia

Personalised recommendations