Gallbladder Perforation without Gallstones or Cholecystitis.
- Author:
In Chul MIN
1
;
Dong Hee RYU
;
Ok Jun LEE
;
Il Hun BAE
;
Jae Woon CHOI
Author Information
1. Department of Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea. jwchoi@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Gallbladder perforation;
Cholecystitis;
Bile peritonitis
- MeSH:
Abdomen;
Aged;
Appendicitis;
Appendix;
Bile;
Cholecystitis;
Female;
Gallbladder;
Gallstones;
Humans;
Inflammation;
Laparotomy;
Peritoneal Cavity;
Peritonitis
- From:Journal of the Korean Surgical Society
2008;75(6):407-410
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of gallbladder perforation without cholecystitis or trauma is described herein. The patient was a 74-year-old woman who initially presented with right lower quadrant pain of the abdomen. A laparotomy was performed with the impression of an acute appendicitis at a local clinic. However, the appendix was normal and a large amount of bile was noted in the peritoneal cavity. The patient was referred to our hospital. An exploratory laparotomy was performed with the suspicion of a hollow viscous perforation. A pin point perforation of the gallbladder fundus was identified. There were no gallstones or definite inflammation of the gallbladder wall. Although gallbladder perforation without cholecystitis or trauma is rare, gallbladder perforation without cholecystitis should be considered in elderly patients with bile peritonitis of unknown etiology.
