Gallbladder perforation secondary to acute cholecystitis

Case contributed by Dr Chris O'Donnell

Presentation

Severe right upper quadrant pain and fever.

Patient Data

Age: 65
Gender: Male

Distended, thick-walled and inflamed gallbladder containing calculi with an interrupted wall at the fundus producing a localized irregular collection of infected bile in the liver parenchyma (arrow).

Case Discussion

Gallbladder perforation is a rare complication of acute cholecystitis with a higher morbidity and mortality than conventional gallbladder infection. Diagnosis is often delayed and surgery more complicated as the liver parenchyma is involved.

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Case Information

rID: 37454
Case created: 9th Jun 2015
Last edited: 5th Apr 2017
Inclusion in quiz mode: Included

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