Laparoscopic management of intra-hepatic gallbladder perforation
Intra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=77;epage=79;aulast=Nikumbh |
| _version_ | 1819225797406228480 |
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| author | Tejas Nikumbh Ajay Bhandarwar Shubhangi Sanap Gajanan Wagholikar |
| author_facet | Tejas Nikumbh Ajay Bhandarwar Shubhangi Sanap Gajanan Wagholikar |
| author_sort | Tejas Nikumbh |
| collection | DOAJ |
| description | Intra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography and endoscopic retrograde cholangiopancreatography is necessary before proceeding with surgery in such cases. An early laparoscopic intervention to perform a sub-total cholecystectomy with drain placement is enough to treat both cholecystitis and liver abscess in a definitive manner. While previous reports have advocated an open surgery, our series demonstrates that early laparoscopic management is a safe and suitable approach in such cases. |
| first_indexed | 2024-12-23T10:15:18Z |
| format | Article |
| id | doaj.art-d6b1dcb345f14df684de8645f63646e8 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-23T10:15:18Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-d6b1dcb345f14df684de8645f63646e82022-12-21T17:50:50ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212020-01-01161777910.4103/jmas.JMAS_267_18Laparoscopic management of intra-hepatic gallbladder perforationTejas NikumbhAjay BhandarwarShubhangi SanapGajanan WagholikarIntra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography and endoscopic retrograde cholangiopancreatography is necessary before proceeding with surgery in such cases. An early laparoscopic intervention to perform a sub-total cholecystectomy with drain placement is enough to treat both cholecystitis and liver abscess in a definitive manner. While previous reports have advocated an open surgery, our series demonstrates that early laparoscopic management is a safe and suitable approach in such cases.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=77;epage=79;aulast=Nikumbhcholecystitischolecystohepatic fistulaendoscopic retrograde cholangiopancreatographygallbladder perforationlaparoscopic cholecystectomy |
| spellingShingle | Tejas Nikumbh Ajay Bhandarwar Shubhangi Sanap Gajanan Wagholikar Laparoscopic management of intra-hepatic gallbladder perforation Journal of Minimal Access Surgery cholecystitis cholecystohepatic fistula endoscopic retrograde cholangiopancreatography gallbladder perforation laparoscopic cholecystectomy |
| title | Laparoscopic management of intra-hepatic gallbladder perforation |
| title_full | Laparoscopic management of intra-hepatic gallbladder perforation |
| title_fullStr | Laparoscopic management of intra-hepatic gallbladder perforation |
| title_full_unstemmed | Laparoscopic management of intra-hepatic gallbladder perforation |
| title_short | Laparoscopic management of intra-hepatic gallbladder perforation |
| title_sort | laparoscopic management of intra hepatic gallbladder perforation |
| topic | cholecystitis cholecystohepatic fistula endoscopic retrograde cholangiopancreatography gallbladder perforation laparoscopic cholecystectomy |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=77;epage=79;aulast=Nikumbh |
| work_keys_str_mv | AT tejasnikumbh laparoscopicmanagementofintrahepaticgallbladderperforation AT ajaybhandarwar laparoscopicmanagementofintrahepaticgallbladderperforation AT shubhangisanap laparoscopicmanagementofintrahepaticgallbladderperforation AT gajananwagholikar laparoscopicmanagementofintrahepaticgallbladderperforation |