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A Case of Gallbladder Perforation in Which the Developmental Pattern was Demonstrated by Laparoscopy
Author(s) -
MATSURA Tatsuya,
WATANABE Makoto,
FUKUMOTO Shiro,
NAGAOKA Saburo,
GOBARU Yoshiyuki
Publication year - 1993
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1993.tb00646.x
Subject(s) - medicine , gallbladder , laparoscopy , laparotomy , perforation , epigastric pain , cholescintigraphy , ultrasonography , adhesion , general surgery , surgery , radiology , chemistry , punching , materials science , organic chemistry , metallurgy , vomiting
A 58‐year‐old man with diabetes mellitus was referred to our clinic because of epigastric colicky pain of sudden onset with fever. An ultrasonography (US) and endoscopic ultrasonography (EUS) demonstrated marked thickening of the gallbladder wall and a pericholecystic echo‐free space. A laparoscopy showed tight adhesion between the greater omenturn and the parietal peritoneum, and pooling of bile on the liver surface, the greater omenturn, and in the perisplenic area. The gallbladder itself could not be seen. A surgical laparotomy revealed perforation of the gallbladder with a pericholecystic abscess. No laparoscopic observation of free bile has been reported in cases of gallbladder perforation. In the present case, US, EUS and laparoscopy were useful for early diagnosis of gallbladder perforation. In addition, laparoscopy played an important role in determining the type of gallbladder perforation.