Sharma Ram Gopal, Goyal Sunder, Mittal Amit, Singhal Kiran
Indian J Surg. 2011 Aug;73(4):316-7. doi: 10.1007/s12262-011-0289-3. Epub 2011 Apr 18.
Main cause of gallbladder perforation is cholecystitis with or without stones. In old age, spontaneous perforation of gallbladder can be due to decreased blood supply which can be as the result of atherosclerosis, focal vasospasm or localized vasculitis. Perforation is associated with high morbidity and mortality if left untreated. Here, we report a rare case of idiopathic and spontaneous perforation of gallbladder in a 77 years old lady.
胆囊穿孔的主要原因是胆囊炎，伴或不伴有结石。在老年人中，胆囊自发性穿孔可能是由于血液供应减少，这可能是动脉粥样硬化、局灶性血管痉挛或局部血管炎的结果。如果不治疗，穿孔会导致高发病率和死亡率。在此，我们报告一例77岁女性特发性胆囊自发性穿孔的罕见病例。
