Gallbladder Perforation into the Peritoneal Cavity

Bing F. Wang, Steven Yi, Jayanth Keshavamurthy, Hadyn Williams, Darko Pucar

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Gallbladder perforation is an uncommon but morbid complication of acute cholecystitis with mural ischemia and necrosis. The most common site of perforation is the fundus because of limited blood supply in this region. The Niemeier classification proposed in 1934 remains the criterion standard in grading gallbladder perforation; type 1 is acute with free perforation into the peritoneal cavity, type 2 is subacute with pericholecystic abscess, and type 3 is chronic with cholecystoenteric fistula. We report a challenging case of type 1 gallbladder perforation due to acute acalculous cholecystitis.

Original languageEnglish (US)
Pages (from-to)e84-e85
JournalClinical nuclear medicine
Issue number2
StatePublished - 2021


  • Niemeier classification
  • acute acalculous cholecystitis
  • bile leak
  • gallbladder perforation
  • perforation with peritonitis
  • type 1 perforation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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