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Case Reports
. 2018 May;97(19):e0674.
doi: 10.1097/MD.0000000000010674.

Spontaneous acalculous gallbladder perforation in a man secondary to chemotherapy and radiation: A rare case report

Jungang Zhang  1 , Guoliang Shen, Ying Shi, Chengwu Zhang, Defei Hong, Li Jin, Hongguo Yang, Wei Sun, Hanhui Cai, Zhiming Hu, Weiding Wu
Affiliations
Case Reports

Spontaneous acalculous gallbladder perforation in a man secondary to chemotherapy and radiation: A rare case report

Jungang Zhang et al. Medicine (Baltimore). 2018 May.

Abstract

Rationale: Gallbladder perforation is a serious clinical condition and associated with high morbidity and mortality. A definitive diagnosis is contentious before surgery.

Patient concerns: We herein report a case of perforation of the gallbladder neck secondary to chemotherapy and radiation for nasopharyngeal carcinoma patient.

Diagnoses: Gallbladder perforation secondary to chemotherapy and radiation.

Interventions: To decrease the mortality associated with gallbladder perforation, Laparoscopic cholecystectomy and peritoneal lavage were performed followed for gallbladder perforation patient because of chemotherapy and radiation.

Outcomes: The patient recovered fully without serious complication and discharged on the 10th postoperative day. A pathological examination of the resected gallbladder revealed cholecystitis in the thinning of the neck.

Lessons: Early diagnosis and surgical intervention of gallbladder perforation in relation to asopharyngeal carcinoma chemotherapy and radiation are of prime importance. The laparoscopic procedure is safe and feasible in the selected patients.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Preoperative imaging findings. Preoperative ultrasonography shows thickened gallbladder with moderate free fluid in peritoneal cavity.
Figure 2
Figure 2
Preoperative imaging findings. Computed tomography (A, B) shows thickened gallbladder with moderate free fluid in peritoneal cavity.
Figure 3
Figure 3
Intraoperative finding: (A) perforation of gallbladder at neck and (B) moderate free fluid in peritoneal cavity.
Figure 4
Figure 4
Photomicrograph shows cholecystitis of the gallbladder (200×).
See this image and copyright information in PMC

References

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