World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

CASE REPORT

Minimal Invasive Management of Gallbladder Perforation

Jalbaji P More, Shirish R Bhagvat, Prachiti Gokhe, Amol Wagh, Ajay H Bhandarwar

Keywords : Gallbladder perforation, Laparoscopic cholecystectomy, Niemeier classification

Citation Information : More JP, Bhagvat SR, Gokhe P, Wagh A, Bhandarwar AH. Minimal Invasive Management of Gallbladder Perforation. World J Lap Surg 2019; 12 (1):45-47.

DOI: 10.5005/jp-journals-10033-1364

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Gallbladder perforation (GBP) is a rare clinical entity but life-threatening complication of cholecystitis with or without stones and associated with increased rate of mortality and morbidity due to late diagnosis. Case description: We describe the case of a 51-year-old male patient who presented with abdominal pain and a Niemeier type II GBP. CT scan revealed a GBP with subhepatic collection and surrounding inflammatory changes. It was communicating through a thin hypodense band with the cystic duct, distal to an impacted stone. Through laparoscopy, the collection was confirmed to be a subhepatic secondary to GBP. The cholecystectomy and the abscess cavity treatment were completely handled via laparoscopic approach. Discussion and conclusion: The case report demonstrates that laparoscopic approach can be a safe and feasible method in order to treat both the cause and the complication in this situation. Early diagnosis and appropriate minimally invasive approach are the key to manage this condition.


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