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Gallbladder perforation: A rare complication of enteric fever
Mahendra Singh1, Lovekesh Kumar1, Rashpal Singh1
1Department of Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
International Journal of Surgery Case Reports
|January 21, 2014
Summary
Gallbladder perforation from enteric fever is exceptionally rare but requires prompt surgical intervention. Early diagnosis and cholecystectomy are crucial for favorable outcomes in this severe complication.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Infectious Diseases
Background:
- Gallbladder perforation is a rare complication of acute calculous cholecystitis.
- Perforation of the gallbladder due to enteric fever (typhoid) is extremely rare.
- Pre-operative diagnosis is challenging, and mortality rates are high.
Purpose of the Study:
- To report a case of acalculous gallbladder perforation secondary to enteric fever.
- To highlight the diagnostic challenges and management of this rare condition.
Main Methods:
- Case report of a 14-year-old boy presenting with acute abdomen.
- Diagnosis was confirmed intra-operatively.
- Management involved emergency laparotomy and cholecystectomy.
Main Results:
- The patient presented with acute abdomen following enteric fever.
- Emergency laparotomy and cholecystectomy were performed.
- The patient responded well to surgical treatment.
Conclusions:
- Enteric fever can lead to gallbladder perforation, though rare.
- Imaging modalities like ultrasound and CT have limited specificity.
- Cholecystectomy is the treatment of choice, offering good outcomes.
- High clinical suspicion is necessary in endemic regions for early diagnosis and intervention.
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