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Case report- acute pre-operative gall bladder perforation (Type-1) with generalized biliary peritonitis in younger

Anil Khetarpal1, Ayush Khetarpal1

  • 1Department- General Surgery, Institution - Khetarpal Hospital, India.

Annals of Medicine and Surgery (2012)
|April 23, 2021
PubMed

Insights

Gallbladder disease often requires surgery. Prompt cholecystectomy is crucial, especially in younger patients, to prevent severe complications like gallbladder بیماری (GBP) with sepsis and hypoalbuminemia.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Surgical Critical Care

Background:

  • Gallbladder disease is a frequent reason for surgical intervention.
  • Laparoscopic cholecystectomy is the standard treatment for gallstones.
  • Delayed surgical treatment can lead to severe, life-threatening complications.

Observation:

  • This case report details a young patient with no comorbidities presenting with pre-operative Type-I gallbladder بیماری (GBP).
  • The patient experienced generalized biliary peritonitis, sepsis, and hypoalbuminemia.
  • This presentation highlights a rare but severe complication of delayed gallbladder treatment.

Findings:

  • Gallbladder بیماری (GBP) occurring with hypoalbuminemia and systemic inflammatory response syndrome (SIRS) significantly increases morbidity and mortality.
  • Prompt surgical intervention, specifically cholecystectomy, is essential for acute cholecystitis, even in younger patients.

Implications:

  • Early diagnosis and surgical management of acute cholecystitis in young individuals are critical to prevent catastrophic outcomes.
  • This case underscores the importance of timely surgical intervention to avoid rare but devastating complications of gallbladder disease.

Keywords:
CholecystitisCommon bile ductGall bladder perforation (GBP)Laparoscopic cholecystectomy

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