Acute gall bladder perforation--a dilemma in early diagnosis.
نویسندگان
چکیده
Gall bladder perforation is a rare complication of cholecystitis. A definitive diagnosis is uncommon before surgery and the morbidity and mortality associated with this condition are high. We report six patients with gall bladder perforation to show the difficulty of making an early diagnosis. The history and the clinical findings of these patients are reviewed to highlight diagnostic pitfalls.
منابع مشابه
Salmonella pancolitis with acute abdomen. CT findings and review literature.
Gall bladder is more likely to perforate in cases of obstruction leading to raised intra luminal tension. Non obstructive cholecystitis is unlikely to result in perforation. Perforation complicating acute acalculus cholecystitis is often seen in association with acute infections like pneumonia, viral influenza, and in particular with typhoid where the causative organism Salmonella typhii multip...
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INTRODUCTION Gall bladder perforation (GBP) is a rare yet potentially fatal condition. e mortality rate of GBP is reported to be 12%-16% [1]. Acute Cholecystitis, calculous or acalculous, can lead to GBP in 6%12% of cases [2, 3]. In emergency setting cholelithiasis and its complications like biliary colic, acute cholecystitis are very frequently dealt by the surgeon and at times clinical prese...
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عنوان ژورنال:
- Gut
دوره 32 8 شماره
صفحات -
تاریخ انتشار 1991