| Abstrakt: |
Obstruction of the small bowel resulting from an acute inflammation of the gallbladder is rare. Blain and Harkins1 studied reports of 11,794 operations and 19,274 necropsies and found 41 cases of perforated gallbladder. In 11 cases there was associated intestinal obstruction; however, only 4 cases presented as obstruction, and in 2 of those the obstruction was a gallstone ileus. Their series did not include the intact, nonperforated, acutely inflamed gallbladder. Nemir,2 in his study of 430 cases treated during a 10-year period at the Hospital of the University of Pennsylvania, describes no case similar to the one we are reporting. Furthermore, in a search of the indexed literature for the past 17 years no published case report was found. Analysis of the Cleveland Clinic records indicates that the case to be reported is the first such case seen here, in which the only complaints and findings are related |
