Perforation of the gallbladder: A frequently mismanaged condition

Roslyn, Joel J.; Busuttil, Ronald W.

doi:10.1016/0002-9610(79)90056-4

Cited by 138 publications

(79 citation statements)

References 4 publications

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“…Patients may be acutely ill, or they may have an insidious onset. An acute onset may be diagnosed by right upper quadrant pain, fever, a palpable right upper quadrant mass, and tenderness, similar to our case (7,8).…”

Section: Discussionsupporting

confidence: 72%

Perforation of the Gallbladder Due to a Swallowed Sewing Needle: Case Report

Doğan¹,

Çağlayan²,

Işler³

et al. 2017

J Emerg Med Case Rep

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Introduction: Ingestion of foreign bodies is a common problem, particularly among the elderly, pediatric, and psychiatric populations. Most of the foreign bodies pass spontaneously and uneventfully within a week. Perforation of the gallbladder by an ingested sewing needle is extremely rare, and a single case has been reported in the literature. Case Report: We report a rare case of 30-year-old woman who accidentally ingested a sewing needle, which silently perforated the stomach and migrated to the gallbladder. Conclusion: For foreign bodies in the stomach and duodenum, the general management is usually conservative. In situations such as those in our presented case, if there is a history of foreign body ingestion and failure of its progress as well as the presence of acute abdomen, there may be an indication for surgery.

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Section: Discussionsupporting

confidence: 72%

Perforation of the Gallbladder Due to a Swallowed Sewing Needle: Case Report

Doğan¹,

Çağlayan²,

Işler³

et al. 2017

J Emerg Med Case Rep

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mentioning

confidence: 99%

“…Mostly, gallbladder perforation is due to inflammation, trauma, or obstruction [3]. Perforation of gallbladder can be classified into three groups: [1] Spontaneous, [2] Traumatic, and [3] iatrogenic. The spontaneous group is further sub-divided into an idiopathic group and a secondary group, which includes acute inflammation, infection, lithiasis, congenital obstruction, and anticoagulant therapy, etc.…”

mentioning

confidence: 99%

“…[2]. Causes of gallbladder perforation in acute cholecystitis are: [1] Bile stasis due to cystic duct obstruction, fasting, dehydration, and total parentral nutrition, which leads to a change in the bile content and concentration; [2] Vascular impairment of the gallbladder wall due to distention of the viscous, underlying systemic illness, such as sepsis, shock, atherosclerosis; and [3] Ischemic necrosis. As gallbladder perforation occurs most commonly at fundus due to least blood supply, this proves the importance of ischemic mechanism.…”

mentioning

confidence: 99%

“…Conditions such as cholelithiasis, infections, malignancy, steroid therapy, diabetes mellitus, and atherosclerosis are all predisposing factors for gallbladder perforation. However, idiopathic spontaneous perforation of normal gallbladder is mysterious [3,4].…”

mentioning

confidence: 99%

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Spontaneous Perforation of Acalculous Gallblader: A Case Report

et al. 2011

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Main cause of gallbladder perforation is cholecystitis with or without stones. In old age, spontaneous perforation of gallbladder can be due to decreased blood supply which can be as the result of atherosclerosis, focal vasospasm or localized vasculitis. Perforation is associated with high morbidity and mortality if left untreated. Here, we report a rare case of idiopathic and spontaneous perforation of gallbladder in a 77 years old lady.

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Management of Gallstones in Diabetic Patients

Aucott

Cooper²,

Bloom

et al. 1993

Arch Intern Med

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The management of gallstones in diabetic patients has traditionally been considered problematic. Autopsy findings and uncontrolled studies have documented a higher prevalence of cholelithiasis in diabetics, and early reports showed dramatically increased perioperative morbidity and mortality for treatment of diabetics with acute cholecystitis. As a result, some authorities have recommended prophylactic cholecystectomy for diabetic patients with asymptomatic gallstones, which is in contrast to recommendations for nondiabetics. More recent investigators have shown comparable rates of operative morbidity and mortality for biliary surgery in diabetics when compared with the general population. Recent studies have questioned whether diabetes is an independent risk factor for gallstone formation. Decision analyses using these new data have shown that prophylactic cholecystectomy is not of clear benefit and should not be routinely recommended for diabetics with asymptomatic gallstones. We believe that available data, although limited, indicate that asymptomatic patients with diabetes do not benefit from screening for gallstones and that cholecystectomy should only be performed in cases of symptomatic cholelithiasis, as is the case in the general population.

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Perforation of the gallbladder: A frequently mismanaged condition

Cited by 138 publications

References 4 publications

Perforation of the Gallbladder Due to a Swallowed Sewing Needle: Case Report

Perforation of the Gallbladder Due to a Swallowed Sewing Needle: Case Report

Spontaneous Perforation of Acalculous Gallblader: A Case Report

Management of Gallstones in Diabetic Patients

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