Related Experiment Videos
Spontaneous gall bladder perforation: a rare entity in infants
Shyam B Sharma1, Vipul Gupta, Vinod Sharma
1Department of Neonatal and Pediatric Surgery, S M S Medical College, S P Mother and Child Health Institute, Jaipur.
Summary
Spontaneous gallbladder perforation in infants is rare. This case highlights a 3-month-old infant with abdominal distension, successfully treated with partial cholecystectomy and biliary drainage.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Medicine
Background:
- Spontaneous gallbladder perforation is an uncommon condition in infants.
- Early diagnosis and prompt surgical intervention are crucial for favorable outcomes.
Observation:
- A 3-month-old male infant presented with progressive abdominal distension, low-grade fever, bilateral hydrocele, and acholic stools.
- Abdominal ultrasonography revealed free peritoneal fluid, confirmed as bile-stained upon paracentesis.
Findings:
- Surgical exploration identified sterile biliary peritonitis and a gangrenous gallbladder.
- Partial cholecystectomy with external biliary drainage led to a satisfactory recovery.
Implications:
- This case underscores the importance of considering spontaneous gallbladder perforation in infants with abdominal symptoms.
- Effective management involves surgical intervention and biliary drainage to prevent complications.