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Review
. 2016 Jul;98(6):e88-91.
doi: 10.1308/rcsann.2016.0115. Epub 2016 Apr 8.

Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication

T Hussain  1 , M Adams  2 , M Ahmed  2 , N Arshad  2 , M Solkar  2
Affiliations
Review

Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication

T Hussain et al. Ann R Coll Surg Engl. 2016 Jul.

Abstract

A spontaneous (non-traumatic) gallbladder perforation with gallstone disease is not common. Concomitant development of a liver abscess is a very rare complication observed in such cases. A few cases of intrahepatic gallbladder perforations with chronic liver abscesses have been described. However, a patient series summarising classical and atypical presentations, relevant imaging studies, and the role of surgical and non-surgical options are lacking. We report a short case series on this rare complication of intrahepatic gallbladder perforations and share our experience of management of this condition.

Keywords: Chronic Cholecystitis; Gallbladder; Hepatic abscess; Intrahepatic perforation.

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Figures

Figure 1
Figure 1
CT of a thickened gallbladder with a (a) stone (red arrow) and (b) intrahepatic biliary dilatation (orange arrow) associated with gallbladder disease
Figure 2
Figure 2
Plain radiograph of the abdomen showing dilation of the small bowel secondary to inflammatory ileus
Figure 3
Figure 3
CT showing formation of an intrahepatic abscess (yellow arrow) due to a perforated gallbladder
See this image and copyright information in PMC

References

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