Acute free gallbladder perforation

Case contributed by Dr Luu Hanh

Presentation

Right upper quadrant pain. History of partial hepatectomy.

Patient Data

Age: 60 years
Gender: Female

Focal defect in the free wall of the gallbladder. Sizable amount of free intraperitoneal fluid, mostly in the right abdomen.

Case Discussion

CT findings are in keeping with acute free perforation of the gallbladder into the peritoneal cavity, classified as type 1 according to the Neimeier-Anderson classification 1.

Cholecystectomy was performed and confirmed gallbladder perforation.

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