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Spontaneous gallbladder perforation.

T C Simmons1, C Miller, R Weaver

  • 1West Gastroenterology Group, Daniel Freeman Hospital, Inglewood, California.

The American Surgeon
|May 1, 1989
PubMed
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Acute gallbladder perforation, a complication of cholecystitis, is often diagnosed during surgery. This case highlights prompt diagnosis in an elderly patient using ultrasonography and a radionuclide biliary scan.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Acute gallbladder perforation is a rare but serious complication of cholecystitis.
  • Preoperative diagnosis is challenging, often leading to delayed treatment and increased morbidity/mortality.

Observation:

  • A case report of a 92-year-old patient presenting with suspected acute gallbladder perforation.
  • Initial suspicion arose during intraoperative ultrasonography of the abdomen.

Findings:

  • The diagnosis was confirmed using a technetium-99m disofenin radionuclide biliary scan.
  • This imaging modality proved effective in confirming gallbladder perforation.

Implications:

  • Highlights the utility of radionuclide biliary scans in diagnosing gallbladder perforation when suspected intraoperatively.

Related Experiment Videos

  • Emphasizes the importance of timely diagnosis for improving patient outcomes in cases of acute gallbladder perforation.