Conservative management of type 2 gallbladder perforation in a child

doi:10.12998/wjcc.v3.i7.671

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Jul 16, 2015 (publication date) through Feb 26, 2026

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Jul 16, 2015; 3(7): 671-674
Published online Jul 16, 2015. doi: 10.12998/wjcc.v3.i7.671

Conservative management of type 2 gallbladder perforation in a child

Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan

Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India

Author contributions: All authors contributed to this work.

Institutional review board statement: Not needed.

Informed consent statement: Written and informed consent was obtained and a copy of the same is submitted to the Editor-in-Chief of this journal for review.

Conflict-of-interest statement: Nil.

Correspondence to: Dr. Vishesh Dikshit, Ward 1A, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Sion, Mumbai 400022, India. kvisheshd@gmail.com

Telephone: +91-22-24063331 Fax: +91-22-24063331

Received: September 22, 2014
Peer-review started: September 22, 2014
First decision: December 17, 2014
Revised: March 3, 2015
Accepted: April 1, 2015
Article in press: April 7, 2015
Published online: July 16, 2015
Processing time: 308 Days and 4.3 Hours

Abstract

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.

Keywords: Spontaneous; Gallbladder; Perforation; Percutaneous tube cholecystostomy

Core tip: Percutaneous cholecystostomy for selected patients with gallbladder perforation or distended gallbladder with symptoms is a good technique to tide over the acute crisis and may even avert the need for cholecystectomy.