Isolated perforation of the gall bladder following blunt abdominal trauma.

Isolated perforation of the gall bladder as a consequence of blunt abdominal injury is rare. A single case is described which illustrates several features which may characterize this lesion.     

Enteric perforation of the gall bladder

A case of enteric perforation of the gall bladder in a 20-year-old male is reported. The patient recovered after cholecystostomy with closure of the perforation.     

Intrahepatic type II gall bladder perforation by a gall stone in a CAPD patient

Introduction

Perforation of the gall bladder represents a rare, but life-threatening complication of cholecystitis. Clinical presentation may vary between severe peritonism in acute perforation and absence of symptoms in subacute or chronic progression of perforation. Abdominal imaging like ultrasound or CT-scan are important tools for immediate diagnose of gall bladder perforation.

Case presentation

We report a case of a 30-year old female patient with end-stage kidney disease treated by continuous ambulatory peritoneal dialysis (CAPD) who was admitted to the emergency room with fever and mild abdominal pain. A type II gall bladder perforation by a solitary gall stone with development of a liver abscess was detected by abdominal ultrasound.

Conclusion

Gall bladder perforations are rare but have to be considered in patients with abdominal pain and fever. Abdominal ultrasound is a reliable tool to establish diagnosis.     

Tuberculosis of the gall bladder

An unusual presentation of tuberculous involvement of gall bladder in the absence of clinically detectable tuberculosis elsewhere is described. Tuberculosis, a rare lesion in the gall bladder was seen in a case associated with chronic cholecystitis with acute exacerbation. This organ is supposed not to be involved by tuberculosis due to high concentration of bile-acids in pure bile. The mode of spread in the present case remains speculative.     

胆囊切除、胆总管引流术后致胆漏20例分析

目的 探讨胆道探查术、胆汁性腹膜炎预防及治疗措施.方法 回顾性分析我院20例探讨胆道探查术后致胆漏的诊治经验.结果 20例中有12例通过保守治疗,8例重置T管引流术,均顺利恢复痊愈.结论 预防是关键,术前、术中需要了解病人全身情况及特殊胆道解剖位置.     

胆囊切除、胆总管引流术后致胆漏20例分析

目的 探讨胆道探查术、胆汁性腹膜炎预防及治疗措施.方法 回顾性分析我院20例探讨胆道探查术后致胆漏的诊治经验.结果 20例中有12例通过保守治疗,8例重置T管引流术,均顺利恢复痊愈.结论 预防是关键,术前、术中需要了解病人全身情况及特殊胆道解剖位置.     

原发性胆囊癌的外科治疗

本文报告了原发性胆囊癌68例,均行手术治疗。平均年龄60．2岁。术前确诊9例(13．2％),剖腹探查和姑息手术52例,根治性手术16例(23．5％),术后随访52例,术后平均生存期为7．3个月。结合本组病例和参考文献着重讨论了胆囊癌的早期诊断、外科治疗及预后等问题,认为提高临床警惕性,不断改进早期诊断技术,及时施行根治性手术治疗,是提高疗效的关键。