Gallbladder perforation of Acute cholecystitis Results Emerging complicated Five Case Series

The files of patients with acute cholecystitis from two large university hospitals from the years 1978–1985 were employed to find the cases with acute gallbladder perforation for this study. Only those patients (n=9) were selected for the analysis of sonographic signs of acute gallbladder perforation who had less than 48 hours of symptoms before sonography, and were operated upon within 24 hours of the sonography. Patients (n=10) with non-complicated acute cholecystitis and identical in regard to the duration of the symptoms and the timing of the sonography and the operation formed a control group. The sonographic findings in patients with gallbladder perforation were pericholecystic fluid collections, free peritoneal fluid, disappearance of the gallbladder wall echoes, focal highly echogenic areas with acoustic shadows in the gallbladder, and an inhomogeneous, generally echo-poor gallbladder wall.

Download Full-text

Acute cholecystitis after colonoscopy: a case series

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2011.03.1126 ◽

2011 ◽

Vol 74 (1) ◽

pp. 211-213 ◽

Cited By ~ 5

Author(s):

Haripriya Maddur ◽

Saurabh Agrawal ◽

Nabil Fayad ◽

Naga Chalasani ◽

Charles Kahi

Keyword(s):

Acute Cholecystitis ◽

Case Series

Download Full-text

Laparoscopic cholecystectomy for acute cholecystitis and the consequences of gallbladder perforation, bile spillage, and “loss” of stones

The European Journal of Surgery ◽

10.1080/110241598750004238 ◽

2003 ◽

Vol 164 (6) ◽

pp. 425-431 ◽

Cited By ~ 22

Author(s):

Yaron Assaff ◽

Ibrahim Matter ◽

Edmond Sabo ◽

Jorge G. Mogilner ◽

Ernest Nash ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Acute Cholecystitis ◽

Gallbladder Perforation ◽

Bile Spillage

Download Full-text

Gallbladder perforation: management in a tertiary care centre

International Surgery Journal ◽

10.18203/2349-2902.isj20184086 ◽

2018 ◽

Vol 5 (10) ◽

pp. 3346

Author(s):

Prashant Tubachi ◽

K. Sphurti Kamath ◽

Mallikarjun Desai ◽

Harsha Kodliwadmath

Keyword(s):

Surgical Treatment ◽

Acute Cholecystitis ◽

Computerized Tomography ◽

Open Cholecystectomy ◽

Tertiary Care ◽

Diagnostic Procedures ◽

Gallbladder Perforation ◽

Type I ◽

Tertiary Care Centre ◽

Intravenous Antibiotics

Background: Retrospective study in the management of perforated gallbladder and clinical outcome in a tertiary care centre.Methods: Total of 583 patients underwent laparoscopic or open cholecystectomy between 2015 to 2017. Out of these eleven patients had perforated gallbladder (1.9%). Niemeier’ classification used for gallbladder perforation. Both Ultrasonography and Abdominal computerized tomography was used in this study. The parameters like age, gender, method of management, diagnostic procedures, time between date of admission to time of surgery, surgical treatment, duration of hospital stay and post-operative morbidity were evaluated.Results: Out of the eleven cases, eight patients were male and three were female. Nine patients were above the age of fifty years. According to Niemer classification, seven patients had type I perforation, three patients had type II perforation and one had type one perforation. Out of the eleven cases, eight were clinically diagnosed to be acute cholecystitis and three were clinically diagnosed to have peritonitis. The cases diagnosed to have peritonitis- underwent immediate intervention. The remaining eight cases were initially managed conservatively with intravenous antibiotics, imaging and workup was done, following which intervention was done.Conclusions: Early diagnosis and emergency surgical treatment of gallbladder perforation with peritonitis is of crucial importance. If the patient is stable then intervention after optimising has better outcome. Abdominal computerized tomography for acute cholecystitis patients may contribute to the preoperative diagnosis of gallbladder perforation.

Download Full-text

Spontaneous Gallbladdre Perforation: A case series

Journal of Society of Surgeons of Nepal ◽

10.3126/jssn.v18i3.15294 ◽

2016 ◽

Vol 18 (3) ◽

pp. 31

Author(s):

Sujit Kumar ◽

Sanjay Negi ◽

BN Patowary ◽

Aditya Jalan ◽

Sulabh Rajbhandari

Keyword(s):

Rare Complication ◽

Case Series ◽

Biliary Colic ◽

Gallbladder Perforation ◽

Prior History ◽

Aged Patients ◽

Abdominal Radiographs ◽

History Of ◽

Abdominal Paracentesis ◽

Fluid Levels

Background: Gallbladder is rarely injured as it is embedded in the liver and well protected by ribcage. Gallbladder perforation is a rare complication of acute calculus cholecystitis. Spontaneous gallbladder perforation is even rarer.Case Series: We present our experience of 4 cases of spontaneous gallbladder perforation. The patients were mostly males (3:1) with age ranging from 42-64 years. All the patients presented with abdominal pain, distension, ileus and fever ranging from 2-5 days duration. There was no prior history of biliary colic. Examination revealed abdominal tenderness and ileus. Abdominal radiographs showed multiple air-fluid levels and no pneumoperitoneum. Sonography and CT scan of abdomen revealed pericholecystic fluid, intra-abdominal collection with no evidence of gallstones. Provisional diagnosis was peritonitis in 3 and acute pancreatitis in one case. Image guided abdominal paracentesis yielded bilious fluid. In view of lack of clinical improvement and aspiration of bilious content all the patients were subjected to laparotomy. Gallbladder perforation in fundus region without stones and intra-abdominal bile collection was noted in all the patients. Cholecystectomy with peritoneal lavage and abdominal drainage was performed in all cases. Postoperative course was uneventful except wound infection in 2 cases. Histopathology report revealed features of acute cholecystitis in 2 and acute on chronic cholecystitis in the remaining 2 patients.Conclusion: Diagnosis of spontaneous gallbladder perforation should be suspected in middle aged patients who present with acute abdomen but does not have classical signs of peritonitis and in whom paracentesis has yielded bilious fluid.

Download Full-text

Percutaneous cholecystostomy instead of laparoscopy to treat acute cholecystitis during the COVID-19 pandemic period: A case series experience

Turkish Journal of Trauma and Emergency Surgery ◽

10.14744/tjtes.2020.69804 ◽

2020 ◽

Author(s):

Erkan Somuncu

Keyword(s):

Acute Cholecystitis ◽

Case Series ◽

Percutaneous Cholecystostomy

Download Full-text

Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis with a silicone-covered nitinol short bilaterally flared stent: a case series

Endoscopy International Open ◽

10.1055/s-0043-118659 ◽

2017 ◽

Vol 05 (11) ◽

pp. E1111-E1116 ◽

Cited By ~ 2

Author(s):

Raffaele Manta ◽

Claudio Zulli ◽

Angelo Zullo ◽

Edoardo Forti ◽

Alberto Tringali ◽

...

Keyword(s):

Acute Cholecystitis ◽

Endoscopic Ultrasound ◽

Clinical Success ◽

Symptom Relief ◽

Case Series ◽

Metal Stents ◽

Success Rates ◽

Gallbladder Drainage ◽

First Case

Abstract Background and study aim Gallbladder drainage in patients with cholecystitis who are unsuitable for surgery may be performed by endoscopic ultrasound (EUS)-guided placement of specifically designed fully covered metal stents. We describe the first case series of patients treated with a silicone-covered nitinol stent with bilateral anchor flanges. Patients and methods Data from consecutive patients with acute cholecystitis who were deemed unsuitable candidates for surgery were collected. The stent placement procedure was performed in two tertiary endoscopy centers by four experienced endoscopists. Technical and clinical success rates, as well as adverse events and clinical outcome at follow-up, were assessed. Results EUS-guided drainage for cholecystitis was performed in 16 patients (mean age 84 years; nine males). Technical and clinical success rates were 100 % (16/16) and 94 % (15/16), respectively; an early failure due to stone impaction occurred in the remaining case and required placement of a new stent. Symptom relief occurred in 11/15 cases (73 %) within 1 day, and within 2 days in the remaining 4 patients. Bleeding occurred in two patients (13 %): in one patient intraprocedural bleeding was successfully stopped during endoscopy; and delayed bleeding occurred in one patient requiring arterial embolization for catastrophic bleeding (patient died 10 days later). No cases of cholecystitis recurrence or biliary obstruction were observed during a median follow-up of 112 days (range 49 – 180 days). Conclusions Our data showed that EUS-guided gallbladder drainage with a specially designed stent is feasible and successful in patients with acute cholecystitis who are unfit for surgery.

Download Full-text