Open AccessLaparoscopic management of gall bladder perforation secondary to typhoid-induced acalculous cholecystitis: A rare entity
Author(s) -
Akshay Goel,
Vivek Bindal,
Sudhir Kalhan,
Parveen Bhatia,
Mukund Khetan,
Suviraj John
Publication year - 2020
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_30_19
Subject(s) - medicine , typhoid fever , perforation , surgery , cholecystitis , cholecystectomy , abdomen , gall , laparoscopy , general surgery , gallbladder , pathology , materials science , botany , biology , punching , metallurgy
Gall bladder perforation as a sequel of typhoid-induced acalculous cholecystitis is a rare clinical encounter, reported sparsely in literature. Here, we discuss a case wherein successful laparoscopic management of typhoid-induced gall bladder perforation was performed. A 24-year-old female presented with a history of 5 days of fever and acute pain in the abdomen for 2 days. Computed tomography scan suggested gall bladder perforation which was confirmed on diagnostic laparoscopy. Laparoscopic cholecystectomy with peritoneal lavage was performed. The patient did well postoperatively and was discharged on post-operative day 4 after drain removal. One should be aware about the possibility of gall bladder perforation as a sequel of acalculous cholecystitis in typhoid fever. Minimal access surgery techniques can be applied for confirming the diagnosis as well as the definitive treatment.