Management of Gallbladder Perforations: A Review

Authors: Kantharia Sharad , SanthoshKumar DP , Pujari SG , Prabhu RY and Kantharia CV

DOI: 10.23880/ghij-16000223

Volume 10, Issue 1

Abstract

Introduction: Gallbladder perforation (GBP) is a rare but life threatening complication. It has a varied clinical presentation, at times being diagnosed at time of surgery. Hence it poses a challenge to the surgeons. Timely diagnosis and optimal management lead to good outcome. Material and Methods: This study is a prospective analysis of patients presenting with GB perforation form Jan 2021 to December 2024. Traumatic and iatrogenic perforation of GB were excluded from the study. Parameters assessed were clinical presentation, risk factors, comorbidity status, diagnostic investigations, clinical course, management, and outcome. All patients were subjected to CECT scan and USG of the abdomen. They were classified as per Anderson’s modification of original Niemeier’s classification and treated accordingly. Results: 24 patients of GB perforation presented during the study period. 1 patient had Grade I perforation, 15 Grade II and 8 Grade III. In 7 patients (Grade III perforation) diagnosis was made at time of surgery. 23 patients underwent elective surgery with good outcome. 8 patients had wound infection and there was no mortality. Conclusion: Strong clinical suspicion, timely investigation, early intervention with optimization of the patient followed by definitive surgery leads to good outcome.

Keywords: GB Perforation; Optimization; Definitive Surgery

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