GALLBLADDER PERFORATION- PRESENTING AS AN ACUTE ABDOMEN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 80
Abstract
BACKGROUND Gallbladder perforation is a rare but life-threatening complication of acute cholecystitis. About 2% to 15% of patients with acute cholecystitis may be complicated with perforation of gallbladder. It may present as an acute abdomen which is a rare presentation which requires an emergency intervention. The aim of the study is to emphasise the importance of gallbladder perforation as one among the differential diagnoses of cases presenting as acute abdomen. MATERIALS AND METHODS About 212 cases presented as acute abdomen were reviewed from a period between 2013 to 2016. And among these study participants, the number of intraoperative diagnosis as gallbladder perforation was collected. These gallbladder perforation cases were estimated with regard to the age, gender, type of perforation and associated comorbidities. RESULTS 20 cases were found to have gallbladder perforation. All these cases were presented as an acute abdomen. It was more seen in elder age group with male gender predominance. Majority were having at least one comorbidity. Type I perforations were found to me more in majority compared to other types. 12 among these cases required ICU admission, rest were managed in postoperative wards. CONCLUSION While dealing with an acute abdomen, we must keep in mind this unusual presentation of gallbladder perforation for timely intervention and management which is of crucial importance or else it may turn out to be fatal. It may be preoperatively diagnosed by imaging but most of the cases are with no particular radiological diagnosis and will be an unexpected finding intraoperatively.
Authors and Affiliations
Gajendiraraj Gajendiraraj, Ramesh A, Balakrishnan R
Keywords
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- EP ID EP268160
- DOI 10.14260/Jemds/2017/1224
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