Journal of Surgical Education
Volume 65, Issue 5 , Pages 367-371, September 2008

Type II Gall Bladder Perforation with Abdominal Wall Abscess in a Cirrhotic Patient: Case Report and Review of the Literature

  • Murad Aljiffry, MD

      Affiliations

    • Department of Surgery, QEII Medical Center, Halifax, Nova Scotia, Canada
  • ,
  • Mark Walsh, MD

      Affiliations

    • Department of Surgery, QEII Medical Center, Halifax, Nova Scotia, Canada
  • ,
  • Kevork Peltekian, MD

      Affiliations

    • Department of Medicine, QEII Medical Center, Halifax, Nova Scotia, Canada
  • ,
  • Michele Molinari, MD

      Affiliations

    • Department of Surgery, QEII Medical Center, Halifax, Nova Scotia, Canada
    • Corresponding Author InformationCorrespondence: Inquiries to Michele Molinari, MD, Department of Surgery, Dalhousie University, 1278 Tower Road, Room 6-254, Solid Organ Transplantation, Halifax, Nova Scotia, Canada B3H 2Y9; fax: 001-902-473-7639

published online 01 September 2008.

Gallbladder perforation is a rare condition even in patients affected by acute cholecystitis. Most patients who present with gallbladder perforations are diagnosed preoperatively by radiologic imaging. Morbidity and mortality for this condition has improved significantly over the last few decades.

We encountered a cirrhotic patient who was affected by primary sclerosing cholangitis and who developed a type II gallbladder perforation before undergoing a cadaveric liver transplantation. In this article, we report her clinical course and our review of the current literature on this rare condition.

Key Words: cholecystitis, gallbladder perforation, liver failure, liver transplantation, cholelithiasis

Competency: Patient Care

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PII: S1931-7204(08)00190-6

doi:10.1016/j.jsurg.2008.07.004

Journal of Surgical Education
Volume 65, Issue 5 , Pages 367-371, September 2008