An Unusual Presentation of Gallbladder Carcinoma-Gallbladder Perforation and Anterior Abdominal Wall Abscess
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 6
Abstract
Gallbladder perforation (GBP) is a rare but life threatening complication of acute cholecystitis with high morbidity and mortality rates because of delay in diagnosis. Most cases can only be diagnosed during surgery. Niemeier in 1934, classified gallbladder perforation on the basis of his observation. Inspite of many modification we are still using this classification. GBP was classified as acute or type I for free perforation and generalized biliary peritonitis, sub acute or type II for pericholecystic abscess and localized peritonitis, and chronic or type III for cholecystenteric fistula. Advanced age, chronic systemic disease, immunocompromised status may contribute as predisposing factor for GBP. Here we are presenting a case report of gallbladder perforation in a patient, who was presented as anterior abdominal wall abscess. Patient was diagnosed as Adenocarcinoma of gallbladder later. It was concluded that malignancy might be a predisposing factor for GBP. Anterior abdominal wall abscess is an unusual presentation in case of GBP. Keywords: Acute cholecystitis, Gall bladder perforation, Pericholecystic abscess, Biliary peritonitis, Immunocompromised, Adenocarcinoma.
Authors and Affiliations
Pukhraj C, Sitaram G, Ashok Kumar, Mahendra Kumar, Ajay G, Mukesh S
Keywords
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