Conservative management of type 2 gallbladder perforation in a child | Zendy

Vishesh Dikshit | Zendy; Rahul Gupta | Zendy; Paras Kothari | Zendy; Abhaya Gupta | Zendy; Ravikiran Shankar Kamble | Zendy; Krushnakumar Kesan | Zendy

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Conservative management of type 2 gallbladder perforation in a child

Author(s) -

Vishesh Dikshit,

Rahul Gupta,

Paras Kothari,

Abhaya Gupta,

Ravikiran Shankar 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.

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