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Current management of gall bladder perforations
Author(s) -
Menakuru Somasekhar R.,
Kaman Lileswar,
Behera Arunanshu,
Singh Rajinder,
Katariya Rabindra Nath
Publication year - 2004
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-1433.2004.03186.x
Subject(s) - medicine , gall , current (fluid) , general surgery , ecology , geology , oceanography , biology
Background: Gall bladder perforation is a serious complication of acute cholecystitis. The purpose of the present study is to evaluate the presenting symptoms, diagnosis and management of patients with gall bladder perforations. Methods: A retrospective study was undertaken of 31 consecutive patients with gall bladder perforation in a single unit of a tertiary referral hospital, between January 1996 and December 2001. Results: The incidence of gall bladder perforation was 5.9% of all cases of acute cholecystitis. Associated comorbidity was quite common (58%). Ultrasound and computed tomography scans of the abdomen are sensitive investigations. Ultrasound guided percutaneous drainage helps in tiding over the emergency. The morbidity (35%) and mortality (9.6%) is considerable. Conclusion: The patterns of presentations, diagnosis and management of gall bladder perforation are changing. But there is scope for improvement.