Conservative management of type 2 gallbladder perforation in a child  

作　　者：Vishesh Dikshit Rahul Gupta Paras Kothari Abhaya Gupta Ravikiran Kamble Krushnakumar Kesan 

机构地区：[1]Department of Pediatric Surgery,Lokmanya Tilak Municipal General Hospital and Medical College,Sion Hospital

出　　处：《World Journal of Clinical Cases》2015年第7期671-674,共4页世界临床病例杂志

摘　　要：Gallbladder perforation(GBP) is a rare but serious complication of cholecystitis and needs to be managed promptly. Acalculus cholecystitis leading to GBP is frequently associated with enteric fever and found in critically ill patients, and a surgical approach is not always feasible in such patients. Use of percutaneous tube cholecystostomy(PTC) in such patients is a known entity but it is usually followed by interval cholecystectomy. Here we report a case of perforated gallbladder in a child managed conservatively and successfully with PTC as the definitive treatment wherein cholecystectomy was avoided. The functionality of the gallbladder was confirmed by a Tc99m-HIDA scan.Gallbladder perforation(GBP) is a rare but serious complication of cholecystitis and needs to be managed promptly. Acalculus cholecystitis leading to GBP is frequently associated with enteric fever and found in critically ill patients, and a surgical approach is not always feasible in such patients. Use of percutaneous tube cholecystostomy(PTC) in such patients is a known entity but it is usually followed by interval cholecystectomy. Here we report a case of perforated gallbladder in a child managed conservatively and successfully with PTC as the definitive treatment wherein cholecystectomy was avoided. The functionality of the gallbladder was confirmed by a Tc99m-HIDA scan.

关 键 词：SPONTANEOUS GALLBLADDER PERFORATION PERCUTANEOUS tube CHOLECYSTOSTOMY 

分 类 号：R726.5[医药卫生—儿科]