Open AccessCholecystopleural fistula treated by laparoscopy: case report
Author(s) -
Luis Rodrigo Gómez-Álvarez,
Tomás Benavides-Zavala,
Levi Eliezer Delgado-García,
José Rafael Fernández-Treviño,
Manuel Enrique de la O-Escamilla,
Alberto Gómez-Orozco,
Gerardo Enrique Muñoz-Maldonado
Publication year - 2022
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
ISSN - 2042-8812
DOI - 10.1093/jscr/rjac016
Subject(s) - medicine , surgery , perforation , fistula , gallbladder , laparoscopy , peritoneal cavity , empyema , peritonitis , abscess , general surgery , presentation (obstetrics) , materials science , punching , metallurgy
Neimeier, in 1934, proposed a classification for gallbladder perforation. The first type is fistulation between the gallbladder and adjacent viscerae. The second type is a subacute perforation surrounded by an abscess walled off by adhesions from the general peritoneal cavity; and the third type is a peritonitis due to free biliary spillage into the peritoneal cavity without protective adhesions. We will analyze a Neimeier’s type 1 perforation. The patient is a 72-year-old male diagnosed with a cholecystolithiasis and empyema due to a cholecystopleural fistula. Was operated by laparoscopic surgery because its low rate of complications, and lower days at hospital staying. Everything went as planned with no complications. Even though it is not a common presentation, it sets a precedent for it to be furthermore researched, and for it to be used as a literary option in a discussion to know which type of surgery is better for these cases.