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Surgery Today

, Volume 27, Issue 4, pp 360–363 | Cite as

Idiopathic perforation of the gallbladder: Report of a case and a review of the Japanese literature

  • Minoru Tanaka
  • Hiroaki Takahashi
  • Yukihiro Yajima
  • Kazunori Okamura
  • Atsushi Kosaka
  • Ryuji Mizumoto
Case Reports

Abstract

A 79-year-old man was admitted to our hospital because of severe epigastric pain. Ultrasonography and computed tomography revealed a slightly distended gallbladder with a small amount of free intraabdominal fluid. At emergency laparotomy, perforation of the gallbladder was recognized and thus a cholecystectomy was performed. Histopathologically, localized necrosis was seen at the site of perforation; however, the inflammation of the surrounding tissue was mild and no thrombus was detected within the intramural vessels. In addition, the gallbladder contained no stones and a bile culture was negative. Postoperatively, the diagnosis of idiopathic perforation of the gallbladder was established. The findings of this case help to emphasize the importance of considering this disorder in elderly patients presenting with peritonitis of unknown origin.

Key Words

gallbladder perforation peritonitis 

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Minoru Tanaka
    • 1
  • Hiroaki Takahashi
    • 1
  • Yukihiro Yajima
    • 1
  • Kazunori Okamura
    • 1
  • Atsushi Kosaka
    • 1
  • Ryuji Mizumoto
    • 1
  1. 1.Department of SurgeryMatsusaka City HospitalMieJapan

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