[The free gallbladder perforation].
15 cases of free gallbladder-perforation among 3,950 cholezystectomies during the last 15 years are discussed. There was no difference in the sex-distribution. The average age was 67 years. This factor together with delay of the operation because of atypical symptoms and perhaps a toxic agens in the gall are responsible for the high mortality of 26-70 p.c. Nearly always are gallstones and inflammation present. Therefore 2 consequences are made: 1) Acute cholecystitis with signs of diffuse peritonitis: Operation at once, otherwise during the first 3-5 days after preparation. 2) Widened indication for cholecystectomy by gallstone-illness is recommended.
D000328:Adult; D000367:Age Factors; D000368:Aged; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications* / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D003951:Diagnostic Errors; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D014945:Wound Healing
Die freie Gallenblasenperforation