Gallbladder perforation

Case contributed by Dr Maulik S Patel

Presentation

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

Patient Data

Age: 60 years
Gender: Female
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 caliber 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. 

PlayAdd to Share

Case information

rID: 41511
Published: 5th Dec 2015
Last edited: 30th Sep 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.