Gallbladder Perforation into the Peritoneal Cavity

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

doi:10.1097/RLU.0000000000003317

Gallbladder Perforation into the Peritoneal Cavity

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

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2 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	e84-e85
Journal	Clinical nuclear medicine
Volume	46
Issue number	2
DOIs	https://doi.org/10.1097/RLU.0000000000003317
State	Published - 2021

Keywords

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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10.1097/RLU.0000000000003317

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title = "Gallbladder Perforation into the Peritoneal Cavity",

abstract = "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.",

keywords = "Niemeier classification, acute acalculous cholecystitis, bile leak, gallbladder perforation, perforation with peritonitis, type 1 perforation",

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TY - JOUR

T1 - Gallbladder Perforation into the Peritoneal Cavity

AU - Wang, Bing F.

AU - Yi, Steven

AU - Keshavamurthy, Jayanth

AU - Williams, Hadyn

AU - Pucar, Darko

PY - 2021

Y1 - 2021

N2 - 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.

AB - 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.

KW - Niemeier classification

KW - acute acalculous cholecystitis

KW - bile leak

KW - gallbladder perforation

KW - perforation with peritonitis

KW - type 1 perforation

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Gallbladder Perforation into the Peritoneal Cavity

Abstract

Keywords

ASJC Scopus subject areas

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