Gallbladder perforation : a single center experience of 32 cases :a single center experience of 32 cases

Gopalakrishnan Gunasekaran; Debasis Naik; Ashwani Gupta; Vimal Bhandari; Manigandan Kuppusamy; Gaind Kumar; Niuto S Chishi

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저자정보: Gopalakrishnan Gunasekaran (Vardhman Mahavir Medical College and Safdarjung Hospital) Debasis Naik (Vardhman Mahavir Medical College and Safdarjung Hospital) Ashwani Gupta (Vardhman Mahavir Medical College and Safdarjung Hospital) Vimal Bhandari (Vardhman Mahavir Medical College and Safdarjung Hospital) Manigandan Kuppusamy (Vardhman Mahavir Medical College and Safdarjung Hospital) Gaind Kumar (Vardhman Mahavir Medical College and Safdarjung Hospital) Niuto S Chishi (Vardhman Mahavir Medical College and Safdarjung Hospital)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제19권 제1호

발행연도: 2015.2

수록면: 6 - 10 (5page)

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Backgrounds/Aims: Gallbladder perforation is a rare but potentially fatal disease. We herein present our clinical experience in diagnosis and management of 32 cases of gallbladder perforation. Methods: This retrospective study was conducted with inclusion of all cases of gallbladder perforation that presented to our hospital from January 2012 to November 2014. Cases of traumatic gallbladder perforation and patients younger than 12 years of age were excluded from this study. Results: This study included 32 patients (13 males and 19 females). The mean age of patients was 55.9 years. Gallbladder perforation was most common in the 5th and 6th decade of life. The mean age of patients with type I, II, and III gallbladder perforation was 57.0 years, 57.6 years, and 49.8 years, respectively. The most common site of perforation was the fundus, followed by the body and Hartmann’s pouch (24 : 5 : 2). Most of the type I gallbladder perforations were diagnosed intraoperatively, type II gallbladder perforations were diagnosed by enhanced abdominal computed tomography, and type III gallbladder perforations were diagnosed during laparoscopic cholecystectomy converted to open cholecystectomy for cholelithiasis. Mortality was highest in patients with type I gallbladder perforation. The mean hospital stay was 10.1 days, 6.4 days, and 9.2 days in patients with type I, II, and III gallbladder perforation, respectively. The histopathologic analysis in 28 patients who were operated on showed acute cholecystitis in 19 cases, acute-on-chronic cholecystitis in 4 cases, chronic cholecystitis in 4 cases, and mucinous adenocarcinoma of the gallbladder in a single case. Conclusions: Gallbladder perforation represents a special diagnostic and surgical challenge. Appropriate classification and management are essential.

#Gallbladder perforation #Acute cholecystitis #Cholecysto-enteric fistula #Hole sign #Percutaneous catheter drainage

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