Skip to main content
Gut logoLink to Gut
. 1991 Aug;32(8):956–958. doi: 10.1136/gut.32.8.956

Acute gall bladder perforation--a dilemma in early diagnosis.

C L Ong 1, T H Wong 1, A Rauff 1
PMCID: PMC1378971  PMID: 1885081

Abstract

Gall bladder perforation is a rare complication of cholecystitis. A definitive diagnosis is uncommon before surgery and the morbidity and mortality associated with this condition are high. We report six patients with gall bladder perforation to show the difficulty of making an early diagnosis. The history and the clinical findings of these patients are reviewed to highlight diagnostic pitfalls.

Full text

PDF
956

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Addison N. V., Finan P. J. Urgent and early cholecystectomy for acute gallbladder disease. Br J Surg. 1988 Feb;75(2):141–143. doi: 10.1002/bjs.1800750217. [DOI] [PubMed] [Google Scholar]
  2. Harland C., Mayberry J. F., Toghill P. J. Type 1 free perforation of the gallbladder. J R Soc Med. 1985 Sep;78(9):725–728. doi: 10.1177/014107688507800907. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Isch J. H., Finneran J. C., Nahrwold D. L. Perforation of the gallbladder. Am J Gastroenterol. 1971 May;55(5):451–458. [PubMed] [Google Scholar]
  4. Lennon F., Green W. E. Perforation of the gallbladder. A review of 32 cases. J R Coll Surg Edinb. 1983 May;28(3):169–173. [PubMed] [Google Scholar]
  5. Niemeier O. W. Acute Free Perforation of the Gall-Bladder. Ann Surg. 1934 Jun;99(6):922–924. doi: 10.1097/00000658-193499060-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Roslyn J. J., Thompson J. E., Jr, Darvin H., DenBesten L. Risk factors for gallbladder perforation. Am J Gastroenterol. 1987 Jul;82(7):636–640. [PubMed] [Google Scholar]
  7. Roslyn J., Busuttil R. W. Perforation of the gallbladder: a frequently mismanaged condition. Am J Surg. 1979 Mar;137(3):307–312. doi: 10.1016/0002-9610(79)90056-4. [DOI] [PubMed] [Google Scholar]
  8. Thornton J. R., Heaton K. W., Espiner H. J., Eltringham W. K. Empyema of the gall bladder - reappraisal of a neglected disease. Gut. 1983 Dec;24(12):1183–1185. doi: 10.1136/gut.24.12.1183. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Wig J. D., Chowdhary A., Talwar B. L. Gall bladder perforations. Aust N Z J Surg. 1984 Dec;54(6):531–534. doi: 10.1111/j.1445-2197.1984.tb05441.x. [DOI] [PubMed] [Google Scholar]
  10. Williams N. F., Scobie T. K. Perforation of the gallbladder: analysis of 19 cases. Can Med Assoc J. 1976 Dec 18;115(12):1223–1225. [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES