Unusual presentation of gallbladder perforation
G Jayasinghe1, J Adam1, Y Abdul-Aal1
1Tunbridge Wells Hospital, Tonbridge Road, Tunbridge Wells, Kent TN2 4QJ ,UK.
International Journal of Surgery Case Reports
|December 22, 2015
Summary
Spontaneous gallbladder perforation is rare and can present unusually. Prompt recognition and surgical intervention are crucial for managing sepsis from gallbladder issues, even without clear initial symptoms.
Area of Science:
- Medicine
- Surgery
- Gastroenterology
Background:
- Gallbladder perforation carries high mortality and requires prompt management.
- Spontaneous gallbladder perforation is an uncommon presentation.
Purpose of the Study:
- To present an unusual case of spontaneous gallbladder perforation.
- To emphasize the importance of thorough physical examination in sepsis management.
Main Methods:
- Case report of an elderly female patient admitted with sepsis.
- Initial diagnosis of pneumonia, later complicated by a right flank mass.
- Incisional drainage revealed bile-stained pus from an inflamed gallbladder.
Main Results:
- The patient recovered well after surgical intervention and drainage.
- The gallbladder perforation was an unusual cause of sepsis and flank mass.
- No prodromal symptoms of cholecystitis were reported by the patient.
Conclusions:
- Gallbladder perforation can present as a percutaneous abscess in diverse locations.
- Full body inspection is vital in septic patients, even with an identified source.
- Surgical intervention for sepsis should not be unduly delayed by imaging when an abscess is suspected.
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