Current management of gall bladder perforations |
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Authors: | Menakuru Somasekhar R Kaman Lileswar Behera Arunanshu Singh Rajinder Katariya Rabindra Nath |
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Affiliation: | Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. |
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Abstract: | BACKGROUND: Gall bladder perforation is a serious complication of acute cholecystitis. The purpose of the present study is to evaluate the presenting symptoms, diagnosis and management of patients with gall bladder perforations. METHODS: A retrospective study was undertaken of 31 consecutive patients with gall bladder perforation in a single unit of a tertiary referral hospital, between January 1996 and December 2001. RESULTS: The incidence of gall bladder perforation was 5.9% of all cases of acute cholecystitis. Associated comorbidity was quite common (58%). Ultrasound and computed tomography scans of the abdomen are sensitive investigations. Ultrasound guided percutaneous drainage helps in tiding over the emergency. The morbidity (35%) and mortality (9.6%) is considerable. CONCLUSION: The patterns of presentations, diagnosis and management of gall bladder perforation are changing. But there is scope for improvement. |
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Keywords: | acute cholecystitis cholecystoenteric fistula gall bladder perforation gallstone ileus |
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