Spontaneous Gallbladder Perforation

The purpose of this chapter is to draw clinicians’ attention to the condition “Spontaneous Gallbladder Perforation,” which occurs in acalculus cholecystitis, diabetics, and immunocompromised patients and, despite being rare, has a significant death rate. Making a diagnosis before surgery might be tricky. Two examples of gallbladder perforation are discussed, both of which were identified without any obvious radiological sign at the time of initial presentation. A 45-year-old male patient has been complaining of diffuse stomach pain for the past day. A thorough history revealed no other illnesses or symptoms. A ruptured gall bladder with necrotic patches and 3 litres of bilious fluid in the peritoneal cavity were detected during this patient’s exploratory laparotomy. With diffuse abdominal pain, a 45-year-old lady with a history of diabetes, hypertension, and asthma presented. On laparotomy, 2.5 litres of biloma was discovered, along with a necrotic gall bladder. Gallbladder perforation is frequently misdiagnosed due to its rarity. The gold standard for reducing the morbidity and mortality associated with perforation is early diagnosis and rapid surgical surgery.

Author (S) Details

Mohd Altaf Mir
Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Rishikesh, 249203, India.

Lokesh Arora
Shri Venkateshwara Institute of Medical Sciences, Tirupati, India.

Vishal Mago
Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Rishikesh, 249203, India.

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