Incidence of gall bladder perforation in cases admitted with acute cholecystitis in tertiary care centre, Puducherry

Abstract

Aim: To present our clinical experience with gallbladder perforation cases in cases admitted with acute cholecystitis.Methods: Records of 75 patients who received medical andor surgical treatment with the diagnosis of acute cholecystitis in Sri Venkateswara medical college hospital and research centre, Ariyur, Puducherry between November 2020 to August 2021 were reviewed retrospectively. Five (6.6%) of those patients had gallbladder perforation. The parameters including age, gender, time from the onset of symptoms to the time of surgery, diagnostic procedures, surgical treatment, morbidity, and mortality were evaluated.Results: One patient had type I gallbladder perforation, 4 type II gallbladder perforation according to Niemeier’s classification. The patients underwent surgery after administration of intravenous fluids, analgesics and antibiotics after admission.Conclusion: Early diagnosis and emergency surgical treatment of gallbladder perforation are of crucial importance. Upper abdominal computerized tomography for acute cholecystitis patients may contribute to the preoperative diagnosis of gallbladder perforation.