Pata Ramakanth, Lamichhane Shristi, Regmi Nirajan, Ahmady Abolfazl, Kiani Roudabeh
Pulmonary Medicine, Interfaith Medical Center, Brooklyn, USA.
Internal Medicine, Interfaith Medical Center, Brooklyn, USA.
Cureus. 2021 Apr 1;13(4):e14247. doi: 10.7759/cureus.14247.
Gall bladder perforation (GBP) is a rare and life-threatening complication of acute cholecystitis that requires immediate intervention. The diagnosis itself poses a diagnostic challenge, if the patient presents after the perforation of the gall bladder, especially if the initial imaging techniques such as ultrasonogram (US), computed tomography (CT) scan, hepatobiliary iminodiacetic acid (HIDA) scan and magnetic resonance cholangiopancreatography (MRCP) are inconclusive. Subtle clues such as free fluid around gall bladder and contracted gall bladder should warrant the clinician as these might be the only clues suggestive of gall bladder perforation. Here we describe a case of GBP successfully diagnosed by peritoneal drainage and analysis and subsequently managed by endoscopic retrograde cholangiopancreatography (ERCP) and open cholecystectomy.
胆囊穿孔（GBP）是急性胆囊炎一种罕见且危及生命的并发症，需要立即进行干预。如果患者在胆囊穿孔后就诊，诊断本身就构成了一项诊断挑战，尤其是当初始成像技术如超声检查（US）、计算机断层扫描（CT）、肝胆亚氨基二乙酸（HIDA）扫描和磁共振胰胆管造影（MRCP）结果不明确时。胆囊周围游离液体和胆囊收缩等细微线索应引起临床医生的注意，因为这些可能是提示胆囊穿孔的唯一线索。在此，我们描述一例通过腹腔引流和分析成功诊断并随后接受内镜逆行胰胆管造影（ERCP）和开腹胆囊切除术治疗的GBP病例。
