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The CT appearances of gallbladder perforation
B S Morris1, P R Balpande, A C Morani
1Department of Radiology, K.E.M Hospital, Acharya Dhonde Marg, Parel, Mumbai-400012, India.
The British Journal of Radiology
|October 3, 2007
Summary
Gallbladder perforation, a rare but deadly acute cholecystitis complication, often mimics standard symptoms, delaying diagnosis. Early surgical confirmation is crucial for managing this severe condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Medical Imaging
Background:
- Gallbladder perforation is an infrequent yet serious complication of acute cholecystitis.
- It carries a significant mortality rate.
- Clinical presentation frequently overlaps with uncomplicated acute cholecystitis, complicating early diagnosis.
Purpose of the Study:
- To review clinical and imaging findings in patients diagnosed with gallbladder perforation.
- To identify factors contributing to delayed diagnosis.
- To correlate findings with surgical confirmation.
Main Methods:
- Retrospective review of 17 patients with surgically confirmed gallbladder perforation.
- Analysis of clinical presentations, symptoms, and signs.
- Evaluation of diagnostic imaging modalities.
Main Results:
- Patients presented with symptoms similar to uncomplicated acute cholecystitis.
- Diagnostic delays were noted in several cases.
- Surgical findings confirmed gallbladder perforation in all 17 patients.
Conclusions:
- Gallbladder perforation requires high clinical suspicion despite non-specific symptoms.
- Prompt diagnosis and surgical intervention are critical for improving outcomes.
- Imaging plays a vital role in preoperative assessment.
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Clinical Manifestations:
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