ArticleBMJ case reports2014
Successful non-operative management of spontaneous type II gallbladder perforation in a patient with Alzheimer's disease.
Article in BMJ case reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Formation and rupture of liver hematomas caused by intrahepatic gallbladder perforation: A case report and review of literature.World journal of gastrointestinal surgery · 2024Article
- Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options.Medicina (Kaunas, Lithuania) · 2022Article
- Gallbladder perforation without cholecystitis in a patient awaiting liver transplantation: a peculiar case report of anaemia in cirrhosis.BMC gastroenterology · 2019Article
- Spontaneous acalculous gallbladder perforation post-cardiac transplantation.BMJ case reports · 2018Article
- Haemoperitoneum secondary to intrahepatic gallbladder perforation.BMJ case reports · 2015Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 77-year-old man with Alzheimer's disease was admitted to a rural hospital in June 2012 and an acute cholecistytis was first diagnosed. Surgery was not considered as a possible option due to the critical condition of the patient and his severe comorbidities. After 2 days of broad-spectrum antibiotics, the patient worsened and developed severe sepsis. A gallbladder perforation with intrahepatic abscess formation was diagnosed on ultrasonography (US) and abdominal CT scan. The patient underwent percutaneous US-guided gallbladder drainage with resolution of the sepsis and rapid clinical improvement. After 1 month, the drainage was removed and the patient was discharged. He survived in good condition for 18 months and he passed away from pneumonitis in December 2013. This case shows that in a case of acute cholecystitis with gallbladder perforation, percutaneous gallbladder drainage can be a lifesaving procedure in elderly patients with severe comorbidities (including Alzheimer's disease) who are not candidates for elective surgery.
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