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Scholars Journal of Medical Case Reports | Volume-4 | Issue-03
Laparoscopic Management of Isolated GB Perforation in BTA and Review of Literature
Dr. Devendra Saini, Dr. Jagram Meena, Dr. Vimal Kumar Meena, Dr. Mahendra Kumar, Dr. Harish N. L., Dr. Rajendra Bagree
Published: March 30, 2016 |
286
188
DOI: 10.36347/sjmcr.2016.v04i03.015
Pages: 169-171
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Abstract
Isolated gall bladder injury after BTA is a rare entity. We report a case of isolated gall bladder perforation after BTA in a young man which was managed laparoscopically. A 40 year male patient was admitted to our hospital with complain of pain in right upper abdomen since 6 days. On examination there was an abrasion over right hypochondrium. X-ray revealed normal findings but USG showed GB wall edema. Gall bladder contusion with ascites and CECT showed liver contusion with mild to moderate ascites, GB wall thickened. On suspicious findings diagnostic laparoscopy was planned in which Gall Bladder perforation was noted, laparoscopic cholecystectomy done and patient discharged on post-op day 3. There is need for early diagnosis of gall bladder perforation for prevention of morbidity and mortality and to recognize it as a special entity.