Non-malignant gall bladder perforation: Our experience from an institution-based retrospective analysis of 25 cases
| Autor: | Rajan Shah, Abhijeet Kumar, Suresh Prasad Sah, Narendra Pandit, Nirmal Prasad Shah, Rakesh Kumar Gupta |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Rupture Spontaneous business.industry General surgery Perforation (oil well) Public Health Environmental and Occupational Health Bladder Perforation Non malignant Gallbladder Diseases Working diagnosis Gallbladder perforation Infectious Diseases medicine Retrospective analysis Humans Presentation (obstetrics) Good outcome business Retrospective Studies Ultrasonography |
| Zdroj: | Tropical Doctor. 52:34-37 |
| ISSN: | 1758-1133 0049-4755 |
| DOI: | 10.1177/00494755211036593 |
| Popis: | Gallbladder perforation still continues to perplex surgeons; 25 such patients diagnosed either pre- or intra-operatively and managed at our institute over the last 10 years period were analysed. Only eight were diagnosed pre-operatively, while a large majority (17) had a wrong initial working diagnosis. Symptoms and signs were variable. No blood investigation was specific. A computed tomography scan was generally better than ultrasound in detecting the perforation. All our cases were managed operatively with no mortality and a mean duration of hospital stay of 6.8 days. Most perforations were extra-hepatic (84%) and those of Niemeier’s type I (52.2%). Because of its varied clinical presentation, gallbladder perforation is often an intra-operative diagnosis, but early intervention carries a good outcome. |
| Databáze: | OpenAIRE |
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