Type II Gall Bladder Perforation with Abdominal Wall Abscess in a Cirrhotic Patient: Case Report and Review of the Literature

Gallbladder perforation is a rare condition even in patients affected by acute cholecystitis. Most patients who present with gallbladder perforations are diagnosed preoperatively by radiologic imaging. Morbidity and mortality for this condition has improved significantly over the last few decades. W...

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Bibliographic Details
Published in:Journal of surgical education 2008-09, Vol.65 (5), p.367-371
Main Authors: Aljiffry, Murad, MD, Walsh, Mark, MD, Peltekian, Kevork, MD, Molinari, Michele, MD
Format: Article
Language:English
Subjects:
Abdominal Wall - physiopathology
Cholangitis, Sclerosing - complications
Cholecystectomy
cholecystitis
cholelithiasis
Fatal Outcome
Female
gallbladder perforation
Gallstones - complications
Gallstones - diagnostic imaging
Gallstones - surgery
Humans
Liver Cirrhosis - complications
liver failure
Liver Transplantation
Middle Aged
Patient Care
Radiography
Rupture, Spontaneous
Surgery
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Summary:Gallbladder perforation is a rare condition even in patients affected by acute cholecystitis. Most patients who present with gallbladder perforations are diagnosed preoperatively by radiologic imaging. Morbidity and mortality for this condition has improved significantly over the last few decades. We encountered a cirrhotic patient who was affected by primary sclerosing cholangitis and who developed a type II gallbladder perforation before undergoing a cadaveric liver transplantation. In this article, we report her clinical course and our review of the current literature on this rare condition.
ISSN:1931-7204
1878-7452
DOI:10.1016/j.jsurg.2008.07.004