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Case Report

Rare Case of Gall Bladder Perforation following acute Calculus Cholecystitis in a Elderly Male: A Case Report

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 , Dipanjan Pradhan1 , Rohit Basu2 , Saurav Karamakar3

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New Indian Journal of Surgery 13(4):p 167-170, October - December 2022. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.13422.4

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Dipanjan Pradhan, Rohit Basu, Saurav Karmakar/Rare Case of Gall Bladder Perforation Following Acute Calculus
Cholecystitis in an Elderly Male: A Case Report/New Indian J Surg. 2022;13(4): 167–170.
 

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Abstract

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.

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Cite this article

Dipanjan Pradhan, Rohit Basu, Saurav Karmakar/Rare Case of Gall Bladder Perforation Following Acute Calculus
Cholecystitis in an Elderly Male: A Case Report/New Indian J Surg. 2022;13(4): 167–170.
 

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.13422.4

Keywords

Gall bladder perforation; Pericholecystic abscess; Perforation.

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