Volume
13, Issue 4, October - December 2022, Pages 167-170
Case Report
Rare Case of Gall Bladder Perforation following acute Calculus Cholecystitis in a Elderly Male: A Case Report
Dipanjan Pradhan1, Rohit Basu2, Saurav Karamakar3
1Senior Divisional Medical Officer, 23rd year DNB trainee, Department of Surgery, B.R. Singh Hospital and Centre for Medical Education and Research, Kolkata, West Bengal 700014, India, 3Post Doctoral Trainee, Department of Urology, NRS Medical College and Hospital, Kolkata, West Bengal 700014, India.
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Perforation of the gallbladder is a rare but dreaded complication following cholecystitis.1 Spontaneous perforation is most commonly seen in the elderly, and in patients suffering from diabetes mellitus.2 The most common site of perforation is the fundus of gall bladder.3 The gall bladder distension and edema associated with acute inflammation leads to venous and arterial obstruction. Subsequently, this leads to ischaemia and necrosis of the gall bladder wall. The fundus is most susceptible to this injury due to maximum distance from the cystic arterial supply. Aggravating factors include atherosclerosis, focal vasospasm and localized vasculitis. If diagnosed and treated late, perforation of gallbladder may be associated with high chances of morbidity and mortality.4-6 Here, we report a case of a 66-year-old male with perforation of gallbladder following acute calculous cholecystitis.
Keywords : Gall bladder perforation; Pericholecystic abscess; Perforation.
Corresponding Author : Rohit Basu, 23rd year DNB trainee, Department of Surgery, B.R. Singh Hospital and Centre for Medical Education and Research, Kolkata, West Bengal 700014, India