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Case Reports
. 2021;21(84):63-66.
doi: 10.15557/JoU.2021.0009. Epub 2021 Mar 8.

A rare complication of cholecystolithiasis: perforation of the gallbladder

Bartosz Migda  1 , Marlena Alicja Gabryelczak  2 , Anna Migda  3 , Katarzyna Prostacka  4
Affiliations
Case Reports

A rare complication of cholecystolithiasis: perforation of the gallbladder

Bartosz Migda et al. J Ultrason. 2021.

Abstract

Common complications of cholelithiasis include gallbladder inflammation, cholangitis, and acute pancreatitis. On the other hand, rare complications include gallbladder carcinoma, gallstone ileus, Mirizzi syndrome and gallbladder perforation. Some patients with cholecystitis do not require hospitalization. It is of key importance for proper further diagnosis and treatment to remember about the possible complications of cholecystitis, especially in oligosymptomatic patients. Therefore, ultrasound examinations in patients with a history of gallbladder stones should be performed with appropriate care. Ultrasound should be performed carefully in patients with a history of cholecystolithiasis, especially those oligosymptomatic, bearing in mind that there are some rare complications of this highly common clinical entity.

Keywords: cholecystitis; gallbladder; ultrasound.

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Conflict of interest statement

Conflict of interest Authors do not report any financial or personal connections with other persons or organizations, which might negatively affect the contents of this publication and/or claim authorship rights to this publication.

Figures

Fig. 1.
Fig. 1.
US of the gallbladder presenting hypervascularization of the wall (A), with a gallstone located in the neck (B) and perforation (red arrow) (C). The largest collection of fluid in the subphrenica location (red empty arrow) (D)
Fig. 2.
Fig. 2.
US of dilated CHD up to 7.4 mm due to compression of CBD
Fig. 3.
Fig. 3.
CT in coronal view, portal phase presenting poorly calcified concrement in the gallbladder neck measuring 18 × 30 mm (A), contracted gallbladder wall with strictures (purple arrows) (B) and location of covered perforation (green arrow) (C). Dilated CHD measuring 7.5 mm (D)
See this image and copyright information in PMC

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