Gallbladder perforation

Case contributed by Dr Maulik S Patel

Presentation

Diabetic female with complaints of diarrhoea, abdominal low grade pain.

Patient Data

Age: about 60 yrs.
Gender: Female
Modality: Ultrasound

The gallbladder is overdistended and shows diffuse wall odema. There is a 4mm defect of the medial gallbladder wall with a 12 x 7 mm collection abutting the defect.

There is a significant amount of sludge in the lumen along with a small, 4mm calculus.

The common bile duct is normal in calibre without calculus.

Liver is normal. 

Case Discussion

Cholecystectomy was done.

Intra-operative findings (provided by verbal communication with operating surgeon): the site of the gallbladder perforation was as described in the ultrasound report. The perforation site was sealed with omentum.  On displacing omentum, pus drained out from gall bladder. 

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Case Information

rID: 41511
Case created: 5th Dec 2015
Last edited: 6th Dec 2015
Inclusion in quiz mode: Included

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