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Gastric perforation due to foreign body ingestion mimicking acute cholecystitis

Daniel Henneman1, Willem-Maarten Bosman1, Ewan D Ritchie1

  • 1Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands.

BMJ Case Reports
|March 6, 2015
PubMed

Insights

A rare case of secondary gallbladder infection caused by gastric perforation from an ingested foreign body is presented. This highlights the importance of considering foreign body ingestion in elderly patients with dental prosthetics presenting with abdominal symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Secondary gallbladder infections are uncommon, with gastric perforation being a rare etiology.
  • Elderly patients with dental prosthetics may be at higher risk for foreign body ingestion.

Observation:

  • An 82-year-old male presented with symptoms indicative of acute cholecystitis.
  • Laparoscopic cholecystectomy revealed a wooden foreign body in the omentum, originating from a gastric antrum perforation.

Findings:

  • The gastric perforation led to a secondary gallbladder infection, a previously unreported cause.
  • The gastric perforation was managed conservatively, and the patient experienced a full recovery.

Implications:

  • This case underscores the need for clinical awareness of foreign body ingestion in elderly patients, particularly those with dentures.
  • Highlights a novel cause of secondary cholecystitis, expanding differential diagnoses for gallbladder inflammation.

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