MRCP findings of gallbladder perforation and pericholecystic abscess

2004 ◽  
Vol 28 (6) ◽  
pp. 59-61
Keyword(s):  
Gallbladder Perforation ◽  
Pericholecystic Abscess

MRCP findings of gallbladder perforation and pericholecystic abscess

2004 ◽  
Vol 28 (6) ◽  
pp. 59-61 ◽  
Author(s):  
M KARCAALTINCABA ◽  
M HOHENWALTER ◽  
S ERICKSON ◽  
A TAYLOR
Keyword(s):  
Gallbladder Perforation ◽  
Pericholecystic Abscess

Spontaneous cholecystocutaneous fistula: an uncommon complication of acute cholecystitis

2020 ◽  
Vol 13 (12) ◽  
pp. e238063
Author(s):  
Philipp Kasper ◽  
Julia Kaminiorz ◽  
Christoph Schramm ◽  
Tobias Goeser
Keyword(s):  
Rare Complication ◽  
Gallstone Disease ◽  
Acalculous Cholecystitis ◽  
Abdominal Ultrasound ◽  
Gallbladder Perforation ◽  
Ct Guided ◽  
Acute Calculous Cholecystitis ◽  
Hypochondriac Region ◽  
Pericholecystic Abscess ◽  
The Right

A 78-year-old man presented to the hospital with acute right upper quadrant pain, fever and nausea. A focused abdominal ultrasound and abdominal CT scan were performed demonstrating an acute calculous cholecystitis with gallbladder perforation. Although a CT-guided cholecystostomy was performed and a pericholecystic abscess was relieved promptly, the patient developed a cholecystocutaneous fistula in the right hypochondriac region. A cholecystocutaneous fistula is an extremely rare complication that may occur in patients with acute calculous or acalculous cholecystitis, chronic gallstone disease, gallbladder carcinoma or prior hepatobiliary surgery.

scholarly journals Early Sonographic Diagnosis of Emphysematous Cholecystitis Successfully Treated With Antibiotics

2016 ◽  
Vol 33 (1) ◽  
pp. 43-46
Author(s):  
Joseph James Tseng ◽  
R. Brooke Jeffrey
Keyword(s):  
Surgical Intervention ◽  
Early Stage ◽  
Secondary Infection ◽  
Open Cholecystectomy ◽  
Gallbladder Wall ◽  
Gallbladder Perforation ◽  
Emphysematous Cholecystitis ◽  
Pericholecystic Abscess ◽  
Emergency Surgical Intervention

Emphysematous cholecystitis (EC) is an uncommon form of acute cholecystitis, caused by secondary infection of the gallbladder wall with gas-forming organisms. The mortality rate of EC is as high as 25% due to complications such as gangrene, gallbladder perforation, pericholecystic abscess, and bile peritonitis. Traditionally, prompt emergency surgical intervention with open cholecystectomy is recommended for EC treatment. This case study of EC was diagnosed at an early stage with sonography and computed tomography and successfully treated by antibiotic treatment alone without surgery. With characteristic findings on sonography such as echogenic reflectors with posterior shadowing, EC is an important entity for sonographers to be able to identify. In the future as imaging with sonography and CT affords earlier diagnosis of EC, antibiotic therapy might be considered for some patients, but more evidence is needed to obtain the same outcome as this particular case.

Percutaneous Cholecystostomy for Gallbladder Perforation: Early Response and Final Outcome in 10 Patients

1998 ◽  
Vol 38 (1) ◽  
pp. 41
Author(s):  
Jeong Min Lee ◽  
Young Min Han ◽  
Mi Suk Lee ◽  
Jin Kim ◽  
Hyo Seong Kowk ◽  
...  
Keyword(s):  
Early Response ◽  
Final Outcome ◽  
Gallbladder Perforation ◽  
Percutaneous Cholecystostomy

Intrahepatic abscess due to gallbladder perforation

1995 ◽  
Vol 20 (5) ◽  
pp. 452-455 ◽  
Author(s):  
A. Peer ◽  
E. Witz ◽  
H. Manor ◽  
S. Strauss
Keyword(s):  
Gallbladder Perforation

scholarly journals Traumatic Gallbladder Perforation in Children – Case Report and Review

2021 ◽  
Author(s):  
Melanie Thanh Phuong Le ◽  
Jochen Herrmann ◽  
Michael Groth ◽  
Konrad Reinshagen ◽  
Michael Boettcher
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Recent Literature ◽  
Signs And Symptoms ◽  
Gallbladder Wall ◽  
Gallbladder Perforation ◽  
Free Fluid ◽  
Key Points ◽  
Magnetic Resonance Imaging Mri

Background Gallbladder perforation is a very rare finding in children. Clinical and radiografic presentations are often vague. Hence it is a challenging diagnosis, often missed during initial evaluation with potentially fatal consequences. The aim of this case report and review was to identify factors that might help to diagnose and manage future cases. Methods We present a case of gallbladder perforation in an 8-year-old child after blunt abdominal trauma caused by a handlebar in which imaging modalities such as ultrasound and magnetic resonance imaging (MRI) helped us to determine proper management. We identified and evaluated comparable cases for isolated traumatic gallbladder injury. A review of the recent literature was performed by online search in Pubmed and Google Scholar using “gallbladder injury in children”, “gallbladder perforation children”, “blunt abdominal trauma children” as keywords. We focused on articles exclusively in the pediatric section. The literature from the period 2000–2020 was taken into account to review the state of the art in diagnosis and management. Results and Conclusion Recent literature for gallbladder injury in pediatrics is sparse compared to the adult counterpart. Only eight published cases of isolated gallbladder injury in children were identified. Since the onset of symptoms may not develop acutely and often develops in an indistinct manner, radiografic examinations play an important role in the diagnostic progress. The authors advise caution in cases of blunt abdominal trauma especially involving handlebars, intraperitoneal free fluid, and severe abdominal pain. We advocate high suspicion of gallbladder perforation if the gallbladder wall displays discontinuation or cannot be definitively differentiated in sonografic examination. Echogenic fluid within the gallbladder should always lead to suspicion of intraluminal bleeding. Repeated clinical and imaging examinations are mandatory since the onset of signs and symptoms may be delayed. Key Points:  Citation Format

scholarly journals Diagnosis of Gallbladder Perforation—a Puzzle!

2013 ◽  
Vol 76 (3) ◽  
pp. 247-250 ◽  
Author(s):  
Sanjeev R. Chowksey ◽  
Hiteshwari Baghel ◽  
Priyank Sharma ◽  
Brijesh Singh
Keyword(s):  
Gallbladder Perforation

Non-malignant gall bladder perforation: Our experience from an institution-based retrospective analysis of 25 cases

2021 ◽  
pp. 004947552110365
Author(s):  
Abhijeet Kumar ◽  
Nirmal Prasad Shah ◽  
Narendra Pandit ◽  
Suresh Prasad Sah ◽  
Rakesh Kumar Gupta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Gall Bladder ◽  
Clinical Presentation ◽  
Gallbladder Perforation ◽  
Type I ◽  
Computed Tomography Scan ◽  
Duration Of Hospital Stay ◽  
Symptoms And Signs ◽  
Tomography Scan ◽  
Better Than

Gallbladder perforation still continues to perplex surgeons; 25 such patients diagnosed either pre- or intra-operatively and managed at our institute over the last 10 years period were analysed. Only eight were diagnosed pre-operatively, while a large majority (17) had a wrong initial working diagnosis. Symptoms and signs were variable. No blood investigation was specific. A computed tomography scan was generally better than ultrasound in detecting the perforation. All our cases were managed operatively with no mortality and a mean duration of hospital stay of 6.8 days. Most perforations were extra-hepatic (84%) and those of Niemeier’s type I (52.2%). Because of its varied clinical presentation, gallbladder perforation is often an intra-operative diagnosis, but early intervention carries a good outcome.

Sign in / Sign up

Export Citation Format

Share Document