Open AccessConservative management of type 2 gallbladder perforation in a child
Author(s) -
Vishesh Dikshit,
Rahul Gupta,
Paras Kothari,
Abhaya Gupta,
R.S. Kamble,
Krushnakumar Kesan
Publication year - 2015
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v3.i7.671
Subject(s) - medicine , cholecystostomy , gallbladder , cholecystectomy , perforation , cholecystitis , complication , surgery , general surgery , acute cholecystitis , percutaneous , conservative management , materials science , punching , metallurgy
Gallbladder perforation (GBP) is a rare but serious complication of cholecystitis and needs to be managed promptly. Acalculus cholecystitis leading to GBP is frequently associated with enteric fever and found in critically ill patients, and a surgical approach is not always feasible in such patients. Use of percutaneous tube cholecystostomy (PTC) in such patients is a known entity but it is usually followed by interval cholecystectomy. Here we report a case of perforated gallbladder in a child managed conservatively and successfully with PTC as the definitive treatment wherein cholecystectomy was avoided. The functionality of the gallbladder was confirmed by a Tc99m-HIDA scan.