The Three Facets Of Gall Bladder Perforation Dictate the Course Of Management.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Gall bladder perforation is a rare and may be life threatening. It may be a complication of acute calculus or acalculuscholecystitis.Generalised Peritonitis, localized peritonitis, residual sequelae of silent perforation identified during elective surgery are the three clinical presentations of this condition. Generalised peritonitis warrants exploration, clinical course in localised peritonitis determines an operative or conservative management or local intervention.Peroperative findings dictate management in during elective surgery in cases of silent perforation. Optimal outcomes for structured protocol in managing consecutive cases in each of the three sets in a tertiary care hospital have been studied.
Authors and Affiliations
Dr. Ratna Chopra, Dr. Ramkumar P, Dr. Abhideep kumar, Dr. Yoganand sagar
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