Gallbladder perforation is a serious complication of acute calculous cholecystitis. We are presenting a case of a 79-year-old female with severe acute calculous cholecystitis complicated by type II Niemeier gallbladder perforation and sepsis which was managed with intravenous antibiotics, followed by cholecystectomy. The early diagnosis and aggressive conservative management with immediate surgical intervention are paramount in reducing the morbidity and mortality.
Gallbladder Perforation Acute calculous cholecystitis Common bile duct Niemeier classification
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Both authors contributed in patient’s management, literature review, and manuscript editing.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest.
No ethical approval was needed for this study as it is a retrospective analysis of slandered practice.
Written informed consent was obtained from the patient to include images in the article.
Carter H, Cox R, Polk HJ (1987) Operative therapy for cholecystitis and cholelithiasis: trends over three decades. Am Surg 53:565–568PubMedGoogle Scholar
Strasberg S (2008) Clinical practice. Acute calculous cholecystitis. N Engl J Med 358(26):2804–2811CrossRefGoogle Scholar
Ausania F, Guzman Suarez S, Alvarez Garcia H, Senra del Rio P, Casal Nuñez E (2015) Gallbladder perforation: morbidity mortality and preoperative risk prediction. Surg Endosc 29(4):955–960CrossRefGoogle Scholar
Yokoe M, Takada T, Strasberg S, Solomkin J (2012) New diagnostic criteria and severity assessment of acute cholecystitis in revised Tokyo Guidelines. J Hepatobiliary Pancreatic Sciences 19(5):578–585CrossRefGoogle Scholar
Okamoto K, Takada T, Strasberg S, Solomkin J (2013) TG13 management bundles for acute cholangitis and cholecystitis. Journal of Hepatobiliary Pancreatic Sciences 20(1):55–59CrossRefGoogle Scholar