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Related Concept Videos

Gallbladder01:17

Gallbladder

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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.
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Esophageal Perforation-I: Introduction01:22

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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.
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Peritoneum01:21

Peritoneum

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The peritoneum is a vital membrane that lines the abdominal cavity and covers most of the organs within it. It plays a crucial role in protecting the organs, providing a smooth surface for their movement, and facilitating various physiological processes. Understanding the anatomy and function of the peritoneum is essential for comprehending the complexities of the abdominal region.
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Gross Anatomy of the Liver01:17

Gross Anatomy of the Liver

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The liver, the largest gland within the human body, is a firm and reddish-brown organ. This wedge-shaped structure weighs approximately 1.5 kg and occupies a significant portion of the right hypochondriac and epigastric regions. It extends more to the right of the body's midline than to the left.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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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:
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Updated: Aug 24, 2025

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
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Published on: September 27, 2024

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Perforated Gallbladder into the Abdominal Wall.

M Puglisi1, M Peter1, B Egger1

  • 1Department of Surgery, HFR Fribourg-Cantonal Hospital, Fribourg, Switzerland.

Case Reports in Surgery
|October 24, 2022
PubMed
Summary
This summary is machine-generated.

Perforation of the gallbladder into the abdominal wall is an extremely rare complication of acute cholecystitis. A two-stage approach involving abscess drainage followed by laparoscopic cholecystectomy is recommended for this rare condition.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Perforation of the gallbladder (PG) is a severe complication of acute cholecystitis, often leading to increased morbidity and mortality.
  • Cholecystocutaneous abscess (CCA) represents an exceedingly rare manifestation of PG, typically associated with underlying cholelithiasis or neglected chronic gallbladder disease.

Observation:

  • A 65-year-old obese female presented with right upper quadrant pain, diagnosed as acute cholecystitis.
  • She later developed a painful abdominal wall mass, diagnosed via CT scan as a subparietal formation communicating with the gallbladder, suggesting perforation.
  • The patient underwent percutaneous drainage of the abdominal wall abscess followed by laparoscopic cholecystectomy.

Findings:

  • The case highlights a rare presentation of PG resulting in an abdominal wall abscess.
  • Histopathological analysis confirmed chronic inflammation without malignancy.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • This case underscores the importance of recognizing CCA as a potential complication of gallbladder disease.
  • A two-stage management strategy, including initial abscess drainage and subsequent laparoscopic cholecystectomy, is proposed for such rare presentations.
  • This approach may mitigate risks associated with immediate surgical intervention in complex cases.