Sponataneous Gall Bladder Perforation - An Unusual Cause of Acute Abdomen
Published: 2021-03-02
Page: 182-186
Issue: 2021 - Volume 4 [Issue 1]
M. Pravin
*
Institute of General Surgery, Madras Medical College, Chennai, India.
R. Kannan
Institute of General Surgery, Madras Medical College, Chennai, India.
Ashiq Ahamed
Institute of General Surgery, Madras Medical College, Chennai, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: To emphasise the importance of having a lower threshold for gall bladder perforation as a differential diagnosis in patients presenting with peritonitis of unknown etiology.
Case Report: A 66 yr old gentleman presented with abdominal pain and distension for 2 days after a binge drink of alcohol. Clinically patient was in peritonitis. Imaging studies were not significant except for free fluid in the abdomen. Laparotomy revealed 2 litres of bile in the peritoneal cavity with a perforation in the fundus of gall bladder. Cholecystectomy was done.
Conclusion: Due to high mortality and morbidity associated with gall bladder perforation, early diagnosis and surgical management is essential.
Keywords: Gall bladder, perforation, peritonitis, cholecystitis, laparotomy