Koculen Vimaleswaran, Jayarajah Umesh, Ambawatte Anil P
Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka.
Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Case Rep Surg. 2020 Mar 25;2020:5435921. doi: 10.1155/2020/5435921. eCollection 2020.
Gall bladder perforation is a rare but serious complication of acute cholecystitis. Gall bladder perforations commonly occur in patients with comorbidities and in association with gall stones. We report a rare occurrence of intrahepatic type II perforation of the gall bladder in a previously healthy elderly male with acalculous cholecystitis. Lack of early positive findings related to clinical assessment, laboratory workup, and imaging resulted in a challenging diagnosis. High degree of clinical suspicion and close monitoring in such patients is necessary to detect early deterioration and improve outcomes.
胆囊穿孔是急性胆囊炎罕见但严重的并发症。胆囊穿孔常见于患有合并症且伴有胆结石的患者。我们报告了一例罕见的肝内型Ⅱ型胆囊穿孔病例，该病例发生在一名既往健康的老年男性身上，患有非结石性胆囊炎。由于临床评估、实验室检查和影像学检查缺乏早期阳性结果，导致诊断具有挑战性。对此类患者保持高度的临床怀疑并密切监测，对于发现早期病情恶化和改善预后很有必要。
