Kim Hoi Jin, Park Sang Jong, Lee Sang Bae, Lee Jin Kwang, Jung Hyun Seung, Choi Chang Kyu, Paik So Ya
Department of Internal Medicine, Pundang Jesaeng General Hospital, Sungnam, Seoul, Korea.
Korean J Intern Med. 2004 Jun;19(2):128-31. doi: 10.3904/kjim.2004.19.2.128.
Gallbladder perforation is an almost exclusive complication of cholecystitis, which accompanies severe inflammation of the gallbladder with or without cholelithiasis. Whether it is of a calculous or acalculous origin, gallbladder perforation, as a complication of acute cholecystitis, has common symptoms, signs, laboratory data, radiological findings and treatment modalities. Even though many reports of gallbladder perforation have been published, there are few reports of gallbladder perforation without any clinical and radiological indications. We experienced a case of a 70-year-old woman with acute abdomen, which was found to be peritonitis caused by spontaneous gallbladder perforation that was devoid of clues suggesting this condition. Although rare and unusual, this case shows that this disorder should be considered in elderly patients presenting with peritonitis with an unknown etiology.
胆囊穿孔几乎是胆囊炎的唯一并发症，它伴随着胆囊的严重炎症，无论有无胆结石。无论是结石性还是非结石性起源，作为急性胆囊炎的并发症，胆囊穿孔都有共同的症状、体征、实验室数据、影像学表现和治疗方式。尽管已经发表了许多关于胆囊穿孔的报告，但很少有关于无任何临床和影像学指征的胆囊穿孔的报告。我们遇到了一例70岁的急性腹痛女性病例，发现是由自发性胆囊穿孔引起的腹膜炎，且没有提示该病情的线索。尽管这种情况罕见且不寻常，但该病例表明，对于病因不明的腹膜炎老年患者，应考虑这种疾病。
