Spontaneous gallbladder perforation,pericholecystic abscess and cholecystoduodenal fistula as the first manifestations of gallstone disease

作     者：Vui Heng Chong Kian Soon Lim Varkey Vallickad Mathew 

作者机构：Gastroenterology UnitDepartment of MedicineRaja Isteri Pengiran Anak Saleha(RIPAS)Hospital Gastroenterology UnitDepartment of RadiologyRaja Isteri Pengiran Anak Saleha(RIPAS)Hospital Gastroenterology UnitDepartment of SurgeryRaja Isteri Pengiran Anak Saleha(RIPAS)Hospital 

出 版 物：《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志（英文版）)

年 卷 期：2009年第8卷第2期

页      面：212-214页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：acute cholecystitis biliary disease complication liver abscess 

摘      要：BACKGROUND:Gallstone disease is common,and complications that are frequently encountered include acute cholecystitis and acute pancreatitis,but rarely gallbladder perforation. METHOD:Data were retrospectively collected from clinical case notes and a literature review is presented. RESULTS:A 72-year-old lady presented with spontaneous gallbladder perforation,pericholecystic abscess and cholecystoduodenal fistula as the first manifestations of gallstone *** was previously well and had no abdominal *** condition was successfully managed with initial antibiotic therapy followed by interval cholecystectomy and fistula repair. CONCLUSIONS:Our case highlighted some uncommon but severe complications which occurred simultaneously as the first manifestations of previously asymptomatic gallstone *** complications need to be considered in patients suspected of intra-abdominal sepsis,even when there are no characteristic symptoms.