Laparoscopic Management of Isolated GB Perforation in BTA and Review of Literature
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 3
Abstract
Abstract: Isolated gall bladder injury after BTA is a rare entity. We report a case of isolated gall bladder perforation after BTA in a young man which was managed laparoscopically. A 40 year male patient was admitted to our hospital with complain of pain in right upper abdomen since 6 days. On examination there was an abrasion over right hypochondrium. X-ray revealed normal findings but USG showed GB wall edema. Gall bladder contusion with ascites and CECT showed liver contusion with mild to moderate ascites, GB wall thickened. On suspicious findings diagnostic laparoscopy was planned in which Gall Bladder perforation was noted, laparoscopic cholecystectomy done and patient discharged on post-op day 3. There is need for early diagnosis of gall bladder perforation for prevention of morbidity and mortality and to recognize it as a special entity. Keywords: BTA, Gall bladder Perforarion, Laparoscopic, Contusion, Oedema, Ascitis
Authors and Affiliations
Dr. Devendra Saini, Dr. Jagram Meena, Dr. Vimal Kumar Meena, Dr. Mahendra Kumar, Dr. Harish N. L, Dr. Rajendra Bagree
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