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. 2020 Jul-Sep;16(3):276-278.
doi: 10.4103/jmas.JMAS_30_19.

Laparoscopic management of gall bladder perforation secondary to typhoid-induced acalculous cholecystitis: A rare entity

Anupam Goel  1 , Vivek Bindal  1 , Sudhir Kalhan  1 , Parveen Bhatia  1 , Mukund Khetan  1 , Suviraj John  1
Affiliations

Laparoscopic management of gall bladder perforation secondary to typhoid-induced acalculous cholecystitis: A rare entity

Anupam Goel et al. J Minim Access Surg. 2020 Jul-Sep.

Abstract

Gall bladder perforation as a sequel of typhoid-induced acalculous cholecystitis is a rare clinical encounter, reported sparsely in literature. Here, we discuss a case wherein successful laparoscopic management of typhoid-induced gall bladder perforation was performed. A 24-year-old female presented with a history of 5 days of fever and acute pain in the abdomen for 2 days. Computed tomography scan suggested gall bladder perforation which was confirmed on diagnostic laparoscopy. Laparoscopic cholecystectomy with peritoneal lavage was performed. The patient did well postoperatively and was discharged on post-operative day 4 after drain removal. One should be aware about the possibility of gall bladder perforation as a sequel of acalculous cholecystitis in typhoid fever. Minimal access surgery techniques can be applied for confirming the diagnosis as well as the definitive treatment.

Keywords: Gall bladder perforation; laparoscopy; minimal access surgery; typhoid.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Intraoperative findings: necrotic and perforated areas on the neck of gall bladder
Figure 2
Figure 2
Intraoperative findings: critical view of safety ascertained
See this image and copyright information in PMC

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