Related Experiment Video

Updated: Jul 30, 2026

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates
06:10

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

Published on: August 23, 2022

Gallbladder perforation: a case report in Nepal

Tuhin Shah1

  • 1Department of Surgery Shah Nursing Home Birgunj Nepal.

Clinical Case Reports
|April 12, 2017
PubMed

Insights

Gallbladder perforation, a condition with high morbidity and mortality, is often diagnosed late, typically during surgery. This rare cause of peritonitis should be considered when other causes are not apparent.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Gallbladder perforation is a severe complication associated with significant morbidity and mortality.
  • Delayed diagnosis is a primary factor contributing to poor patient outcomes.
  • Diagnosis frequently occurs intraoperatively, highlighting challenges in pre-surgical identification.

Purpose of the Study:

  • To emphasize the importance of considering gallbladder perforation in differential diagnoses.
  • To highlight the diagnostic challenges and implications of delayed recognition.
  • To underscore the need for early suspicion in peritonitis cases without clear etiology.

Main Methods:

  • Review of clinical presentations and diagnostic pathways for gallbladder perforation.
  • Analysis of factors contributing to delayed diagnosis.
  • Comparative assessment against other causes of peritonitis.

Main Results:

  • Gallbladder perforation is frequently identified only at the time of surgery.
  • Late diagnosis is strongly correlated with increased morbidity and mortality.
  • It remains a rare but critical consideration in undiagnosed peritonitis.

Conclusions:

  • Early consideration of gallbladder perforation is crucial for timely intervention.
  • Improved diagnostic strategies are needed to facilitate pre-operative identification.
  • Ruling out gallbladder perforation is essential in unexplained peritonitis to improve patient outcomes.
Keywords:
CholecystitisNepalNiemeiergallbladder perforation

More Related Videos

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Related Concept Videos

Gallbladder01:17

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...