Gall Bladder Perforation: Our experience of Six cases

Dr. Atul Jain; Dr Subhajeet Dey; Dr Tanweer Karim; Dr. Sajid Makbul Nurbhai

Volume : VI, Issue : IV, April - 2017

Gall Bladder Perforation: Our experience of Six cases

Dr. Atul Jain, Dr Subhajeet Dey, Dr Tanweer Karim, Dr. Sajid Makbul Nurbhai

Abstract :

Background: Gallbladder perforation is a rare but potentially fatal disease. In emergency setting cholelithiasis and its complications like biliary colic, acute cholecystitis are very frequently dealt by the surgeon. Gall bladder perforation still continues to be a important problem in terms of early diagnosis and therapeutic challenge for surgeon.

Method: Here we present six cases of gall bladder perforation that were dealt with by us during the period May 2016 to Feuary 2017. Four patients underwent open cholecystectomy (1 emergency, 3 elective) and 2 had laparoscopic cholecystectomy. Pre operative diagnosis of gall bladder perforation was made in 4 cases whereas 2 cases were diagnosed intraoperatively. CECT was done in four out of six cases in which gall bladder perforation was evident and along with it, the type of perforation was also assessed and the decision for management was taken accordingly i.e. drainage first or surgery is urgently required.

Conclusion: Gall bladder perforation is a potentially lethal condition and early diagnosis is usually missed as the presenting clinical features are not specific to the condition. Cholecystectomy (open/laparoscopic) in cases of perforated gall bladder requires patient and diligent dissection as there may be distorted anatomy and adhesions.

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