Diagnosis and treatment of gallbladder perforation.
Can acute cholecystitis with gallbladder perforation be detected preoperatively by computed tomography in ED?
is one of the most severe and life-threatening complications of acute cholecystitis.
l) CT scan can detect the intraperitoneal free fluid, pericholecystic free fluid, abscess, thickening of the wall in the gallbladder, and the defect on the wall which are highly suggestive of gallbladder perforation
Complications of this condition include gangrenous cholecystitis, gallbladder perforation
, cholecysto-enteric fistula, gallstone ileus (3) and, very rarely, cystic artery pseudoaneurysms (CAP), which can be associated with intra-abdominal and gastrointestinal haemorrhage (4).