Gallbladder perforation with concomitant liver abscess: a case report with a review of treatment options

Authors

  • Alejandro Quiroga Garza Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon, Mexico, Instituto Mexicano del Seguro Social, Cirugía General
  • Milton Alberto Muñoz Leija Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon
  • Juan Manuel Valdivia Balderas Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon, Mexico, Instituto Mexicano del Seguro Social, Cirugía General
  • Santos Guzmán López Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon
  • Rodrigo E. Elizondo Omaña Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon

DOI:

https://doi.org/10.18203/2349-2902.isj20201409

Keywords:

Case report, Gallbladder perforation, Hepatic abscess, Laparoscopic drainage, Niemeier type II

Abstract

Gallbladder perforation (GBP) management is still controversial in regards to time (early vs. interval), first procedure (surgical vs. drainage) and technique (laparoscopic vs. open). This is the case report of an adult patient with GBP Niemeier type II, complicated with a concomitant hepatic abscess. The patient was treated medically and with laparoscopic drainage of abscess and pyocholecistolithiasis. She was scheduled shortly after for endoscopic retrograde cholangiopancreatography, and posteriorly for definitive treatment with laparoscopic cholecystectomy 1 month later. Satisfactory postsurgical outcome, with uneventful 1-month follow-up.

Author Biographies

Alejandro Quiroga Garza, Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon, Mexico, Instituto Mexicano del Seguro Social, Cirugía General

Human Anatomy Department

Milton Alberto Muñoz Leija, Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon

Human Anatomy Department

Juan Manuel Valdivia Balderas, Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon, Mexico, Instituto Mexicano del Seguro Social, Cirugía General

General Surgery Division

Santos Guzmán López, Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon

Human Anatomy Department

Rodrigo E. Elizondo Omaña, Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Human Anatomy Department, Monterrey. Nuevo Leon

Human Anatomy Department

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Published

2020-03-26

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Section

Case Reports