Spontaneous Necrosis of the Gall Bladder.
نویسنده
چکیده
RUPTURE of the gall bladder is not an uncommon phenomenon usually associated with gangrene following acute calculous cholecystitis. Cases have been reported following non-calculous cholecy-stitis (Maingot, 1957) and there are other isolated cases of rarer causes. Case Report A male, aged 58, presented with a history of bleeding per rectum for six months. Routine sig-moidoscopy showed a carcinoma 11 cm. from the anus, confirmed by histological examination. On 7th January, 1964 laparotomy showed a mobile carcinoma of the rectum with no obvious metastases. The gall bladder and other abdominal viscera were normal. A routine abdomino-perineal excision of the rectum was performed and his immediate recovery was satisfactory. On the ninth post-operative day pus was drained from his wound which had become inflamed and three days later he developed general peritonitis. Laparotomy showed a biliary peritonitis, there being about a pint of free bile in the abdomen. A large swelling was found in the right upper abdomen consisting of omentum wrapped round the gall bladder. On freeing the omentum, the gall bladder was found to be deeply bile stained and black at the fundus and there was a little bile
منابع مشابه
بررسی درصد فراوانی کارسینوم کیسه صفرا در اعمال کلهسیستکتومی انجام شده در بیمارستان حضرت رسول اکرم(ص) از سال 1372 الی 1381
Background & Aim: Gall bladder carcinoma is 2% to 4% of gastrointestinal malignancies. Approximately 1% to 2% of patients under billiary duct surgeries are cases of gall bladder carcinoma. It has the incidence rate of 3 to 4 times more in females than in males. 90 to 70% of patients with gall bladder carcinoma have billiary stone. Patients & Methods: The present retrospective observational ...
متن کاملSalmonella 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...
متن کاملPerforation of the gall bladder following typhoid fever-induced ileal perforation.
Gall bladder perforation is a potentially life-threatening condition. Spontaneous perforation is infrequent and rarely seen in the absence of gallstones but gall bladder perforation is an occasional complication of typhoid fever. If such perforations are not treated in time, mortality rates are very high. We report a case of gall bladder perforation complicating typhoid fever following enteric ...
متن کاملSpontaneous gall bladder haemorrhage in a renal dialysis patient following haemodialysis with tinzaparin
Spontaneous gall bladder haemorrhage is a rare and serious occurrence with a few cases reported in the literature in haemodialysis patients. This report describes this complication following dialysis with a low-molecular-weight heparin (LMWH) tinzaparin. This patient presented with acute right upper quadrant pain and intermittent haematemesis following 4 hours of haemodialysis. Despite being we...
متن کاملSpontaneous Internal Biliary Fistulae.
The gall bladder lies on the under surface of the liver, and is held in position by areolar tissue and the peritoneum covering the under surface of the liver. It lies obliquely, its long axis being directed backwards and upwards and slightly medially from the lower anterior edge of the liver, to the right end of the porta hepatis. The fundus of the gall bladder is in close relation to the anter...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 41 شماره
صفحات -
تاریخ انتشار 1965