Dikshit V, Gupta R, Kothari P, Gupta A, Kamble R, Kesan K. Conservative management of type 2 gallbladder perforation in a child. World J Clin Cases 2015; 3(7): 671-674 [PMID: 26244160 DOI: 10.12998/wjcc.v3.i7.671]
Corresponding Author of This Article
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
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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
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.
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.
