Volume : VII, Issue : IX, September - 2017

Gallbladder Perforation: Case series

Dr Kailash R Gindodia, Dr Abhang Satshil Chandrakant, Dr Sanam Shailesh Somani, Dr Agraj Mishra, Dr Shabib A Khan, Dr Tabish Rayee, Dr Jagruti Gulati

Abstract :

 Background: Gallbladder perforation is a serious complication of acute cholecystitis. Its management has evolved considerably since its classification by Niemeier in 1934. This review summarises the evidence surrounding the natural progression of this condition and potential problems with Niemeier’s classification, and proposes a management algorithm for the more complex type II perforation. Methods: Data from a retrospective case series and a systematic review were combined. The case series included all patients with gallbladder perforations from 2015 to 2017.12 patients (9 female and 3 male)were included. The most common gallbladder perforations were type II 6 out of 12(50%)followed by type I  5 out of 12(41.6%) and type III 1 out of 12(8.33%).Perforation was associated with cholelithiasis in 10 out of 12(83.33%) of patients, and the overall median mortality rate was 0%.

Conclusions: Gallbladder perforation should be reported according to the original Neimeier’s classification to avoid heterogeneity in data (e.g. varying rates of perforation types). The algorithm proposed in this study aims to guide the management of complex type II gallbladder perforations to minimise subsequent morbidity and mortality.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR KAILASH R GINDODIA, DR ABHANG SATSHIL CHANDRAKANT, DR SANAM SHAILESH SOMANI, DR AGRAJ MISHRA, DR SHABIB A KHAN, DR TABISH RAYEE, DR JAGRUTI GULATI, Gallbladder Perforation: Case series, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017

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