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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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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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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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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Gallbladder perforation causing local peritonitis in left upper abdomen: A case report.

Tadashi Tsukamoto1, Tomohiro Kunimoto1, Ryoji Kaizaki1

  • 1Department of Surgery, Osaka City Juso Hospital, Osaka, Japan.

International Journal of Surgery Case Reports
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PubMed
Summary

Type 1 gallbladder perforation (GBP) is rare and difficult to diagnose. Early cholecystectomy is recommended for suppressed acute cholecystitis with cystic changes to prevent GBP.

Keywords:
Acute cholecystitisCovid-19Exploratory laparoscopyLaparoscopic cholecystectomyRokitansky-Aschoff sinus

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Type 1 gallbladder perforation (GBP) into the free abdominal cavity is a rare and challenging diagnosis.
  • Gallbladder perforation can lead to severe complications like pan-peritonitis.

Observation:

  • An 80-year-old male presented with left upper abdominal pain following COVID-19 hospitalization.
  • Imaging revealed an abscess in the gallbladder neck, possibly from a Rokitansky-Aschoff sinus.
  • Laparoscopy confirmed a gallbladder neck perforation with pus discharge.

Findings:

  • The patient's acute cholecystitis was initially treated conservatively, leading to adhesions and an abscess.
  • The gallbladder perforation resulted in localized peritonitis in the left upper abdomen.

Implications:

  • Type 1 GBP is sudden and unpredictable.
  • Early cholecystectomy is advised for acute cholecystitis with cystic formations to mitigate GBP risk.