Gallbladder perforation secondary to acute cholecystitis
Diagnosis certain
Updates to Case Attributes
Presentation
was changed:
Severe right upper quadrant pain and fever.
Body
was changed:
Gall bladder perforation is a rare complication of acute cholecystitis with a higher morbidity and mortality than conventional gall bladder infection. Diagnosis Diagnosis is often delayed and surgery more complicated as the liver parenchyma is involved.
References changed:
- 1. Chiapponi C, Wirth S, Siebeck M. Acute gallbladder perforation with gallstones spillage in a cirrhotic patient. World J Emerg Surg.5 (1): 11. <a href="http://dx.doi.org/10.1186/1749-7922-5-11">doi:10.1186/1749-7922-5-11</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2867990">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20416108">Pubmed citation</a><span class="auto"></span>
- Chiapponi C, Wirth S, Siebeck M. Acute gallbladder perforation with gallstones spillage in a cirrhotic patient. World J Emerg Surg.5 (1): 11. <a href="http://dx.doi.org/10.1186/1749-7922-5-11">doi:10.1186/1749-7922-5-11</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2867990">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20416108">Pubmed citation</a><span class="auto"></span>
Updates to Study Attributes
Findings
was changed:
Distended, thick-walled and inflammed gall bladder containing calculi with an interrupted wall at the fundus producing a localized irregular collection of infected bile in the liver parenchyma (arrow).
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