Study of clinical profile and outcome of gall bladder perforations at a tertiary care centre from central India

Jain, Shubham; Kolla, Venkatesh; Datey, Sanjay; Vasistha, Rishikant

doi:10.18203/2349-2902.isj20164451

Cited by 3 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In similar studies conducted by Derici H et al, and Jain S et al, type II was found to be more common followed by type I. 6,7 This is in contrary to the study done by Nandyala VN et al, in which type I was more common than type II. 4 On clinical examination, most of the patients with type II GBP had guarding present in the right hypochondrium (n=4/7) and an USG finding of pericholecystic collection (n=6/7), whereas patients with type I GBP had diffuse guarding (n=3/5) and free fluid in the peritoneal cavity on USG (n=4/5).…”

Section: Discussionmentioning

confidence: 71%

See 1 more Smart Citation

Gall bladder perforation; occurrence, clinical presentation, diagnosis and their outcome: a retrospective study in a tertiary care hospital in South India

Ramachandra

Jabbar

2019

Int Surg J

View full text Add to dashboard Cite

Background: Gall bladder perforation (GBP), is an uncommon complication of acute cholecystitis but it often remains a cause for diagnostic dilemma among surgeons while managing patients presenting with signs and symptoms of peritonitis. This study was undertaken to study the clinical profile of the patients diagnosed to have GBP which would aid in early diagnosis and surgical intervention thus improving the patient's outcome. Methods: A retrospective study from May 2013 to April 2018 with a sample size of 12 cases were studied. All cases were diagnosed either pre-operatively (based on radiological findings) or intra-operatively. Perforations of gall bladder caused due to trauma or iatrogenic reasons were excluded from the study. Intra-operative findings, postoperative sequelae and the outcome of the patient were evaluated. Results: The mean age of the patients was 66 and females were more affected than the males. USG done preoperatively could pick up only 1 out of 12 cases. Whereas CT showed gall bladder perforation in 3 out of 4 cases for whom CT was done giving it a sensitivity of 75%. Gall bladder perforation was commonly found to be located in the fundus followed by corpus and infundibulum. Conclusions: GBP is a rare complication of acute cholecystitis. It can present with full blown peritonitis features or vague abdominal symptoms. If promptly diagnosed and treated aggressively by laparotomy and cholecystectomy, the patient's outcomes are improved.

show abstract

Section: Discussionmentioning

confidence: 71%

“…This is in agreement with various other similar studies. 4,6,7 The incidence of type II and type I GBP was found to be 58.3% and 41.6% respectively. Author did not come across any type III GBP during the study period.…”

Section: Discussionmentioning

confidence: 94%

Gall bladder perforation; occurrence, clinical presentation, diagnosis and their outcome: a retrospective study in a tertiary care hospital in South India

Ramachandra

Jabbar

2019

Int Surg J

View full text Add to dashboard Cite

show abstract

Gangrenous Cholecystitis

Adenuga

2022

Nigerian Journal of Gastroenterology and Hepatology

View full text Add to dashboard Cite

Gangrenous cholecystitis (GC) depicts gallbladder (GB) wall necrosis which occurs following prolonged acute cholecystitis that ultimately causes impairment in blood supply. GC is more common in the elderly and in patients with comorbidities. These patients may present with vague symptoms which may be confused with other conditions. Blood work may show elevated white cell count, and computed tomography may show lack of enhancement of the GB wall, air within the lumen or wall, and pericholecystic abscess. These patients would require proper resuscitation and an emergent cholecystectomy. This is the case report of a 75-year-old diabetic woman who presented acutely with a history of right upper abdominal pain and imaging finding of GC. She had an emergency subtotal cholecystectomy performed with good outcome.

show abstract

Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management

Patel

Jain

Kumar

et al. 2019

Euroasian Journal of Hepato-Gastroenterology

View full text Add to dashboard Cite

Introduction: Gallstone disease is one of the most common surgical diseases. Complications associated with cholelithiasis is not uncommon, but gallbladder perforation is a rare complication of acute cholecystitis with cholelithiasis. This gallbladder perforation may present in different ways like free perforation inside peritoneal cavity causing generalized peritonitis, localized collection around gallbladder fossa after perforation and in chronic cases cholecystoenteric fistula. Here we present our experience of this condition with a review of literature for a different presentation of this condition. Materials and methods: This study was done for 2 years, and patients who were diagnosed with gallbladder perforation either preoperatively or intraoperatively were included. Results: There was a total of 16 patient included in the study during this period which were either diagnosed preoperatively or intraoperatively of gallbladder perforation (GBP). Conclusion: GBP, though a rare complication of cholecystitis with high morbidity and mortality, has no specific pathognomic feature and is often misdiagnosed or late diagnosed. Nowadays most cases can be managed with improved diagnostic means and therapeutic modalities (endoscopic, laparoscopic, endostaplers). IntroductIonG allbladder perforation (GBP) is a rare yet potentially fatal condition occurring as a complication of cholecystitis (calculous or acalculous). The clinical presentation of GBP may not be different from uncomplicated acute cholecystitis, or at times its presentation may perplex the clinician. The clinical features of GBP may vary from that of peritonitis to acute cholecystitis. The mortality rate of GBP is reported to be 12-16%. 1 Acute cholecystitis, calculus, or acalculous, can lead to GBP in 6-12% of cases. 2,3 There are many classifications proposed for GBP, but Niemeier classification is most commonly used. In 1934, he categorized GBP perforation in 3 types, type 1 (acute)-it manifests as generalized peritonitis, type 2 (subacute)-localization of fluid at the site of perforation with pericholecystic abscess and type 3 (chronic)-internal (bilio enteric) or external (cholecysto cutaneous) fistula. 4 Here we present our experience of this condition with variable presentation and poorly understood etiology, which is often diagnosed late resulting in high morbidity and mortality rate; dealt by us over a period of 2 years in our institute. The different clinical presentations and its management along with a brief review of the literature available are done in this study. MAterIAls A n d M e t h o d sThis study was done over a period of 2 years and patients who were diagnosed with gallbladder perforation either preoperatively or intraoperatively were included. The clinical presentation, demographic profile, investigations, and management done was recorded. The different possible etiological factors associated with GBP are also discussed. resultsThere was a total of 16 patient included in the study during this period which were either diagnosed preopera...

show abstract

Study of clinical profile and outcome of gall bladder perforations at a tertiary care centre from central India

Cited by 3 publications

References 13 publications

Gall bladder perforation; occurrence, clinical presentation, diagnosis and their outcome: a retrospective study in a tertiary care hospital in South India

Gall bladder perforation; occurrence, clinical presentation, diagnosis and their outcome: a retrospective study in a tertiary care hospital in South India

Gangrenous Cholecystitis

Gallbladder Perforation: A Prospective Study of Its Divergent Appearance and Management

Contact Info

Product

Resources

About