Skip to main content
SpringerLink
Log in

Gallbladder Perforation: a Complication of Severe Acute Calculous Cholecystitis

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Carter H, Cox R, Polk HJ (1987) Operative therapy for cholecystitis and cholelithiasis: trends over three decades. Am Surg 53:565–568

    CAS  PubMed  Google Scholar 

  2. Strasberg S (2008) Clinical practice. Acute calculous cholecystitis. N Engl J Med 358(26):2804–2811

    Article  CAS  Google Scholar 

  3. Niemeier O (1934) Acute free perforation of the gallbladder. Ann Surg 99:922–924

    Article  CAS  Google Scholar 

  4. 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):955–960

    Article  CAS  Google Scholar 

  5. 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):578–585

    Article  Google Scholar 

  6. Okamoto K, Takada T, Strasberg S, Solomkin J (2013) TG13 management bundles for acute cholangitis and cholecystitis. Journal of Hepatobiliary Pancreatic Sciences 20(1):55–59

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. General Surgery Department, West Hertfordshire Hospital NHS Trust, Vicarage Road, Watford, WD18 0HB, UK

    Michelle Balakrishnan & Sherif Monib

Authors
  1. Michelle Balakrishnan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sherif Monib
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Both authors contributed in patient’s management, literature review, and manuscript editing.

Corresponding author

Correspondence to Sherif Monib.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

No ethical approval was needed for this study as it is a retrospective analysis of slandered practice.

Patient’s Consent

Written informed consent was obtained from the patient to include images in the article.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Balakrishnan, M., Monib, S. Gallbladder Perforation: a Complication of Severe Acute Calculous Cholecystitis. Indian J Surg 81, 591–593 (2019). https://doi.org/10.1007/s12262-019-01895-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-019-01895-3

Keywords

Search

Navigation