Spontaneous perforation of the gallbladder from cholecystitis with acute appendicitis in pregnancy. A case report.
BACKGROUND
Spontaneous perforation of the gallbladder is an uncommon and serious complication of cholecystitis.


METHODS
A 36-year-old multipara suffered a spontaneous rupture of the gallbladder from acute cholecystitis at 10 weeks' gestation. This caused bile peritonitis from Salmonella paratyphi. In addition, she had simultaneous acute appendicitis, which was confirmed histologically. After cholecystectomy, appendectomy and antibiotic therapy, her pregnancy progressed uneventfully to term delivery.


CONCLUSIONS
This was the second patient with spontaneous rupture of the gallbladder during pregnancy cared for at Women's Hospital of the Los Angeles County/University of Southern California Medical Center in a six-year period.
Grimes
D A
DA
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, USA.
D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000628:therapy; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications* / Q000628:therapy; D005260:Female; D005705:Gallbladder Diseases / Q000209:etiology* / Q000628:therapy; D005865:Gestational Age; D006801:Humans; D010284:Paratyphoid Fever / Q000188:drug therapy / Q000209:etiology*; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000209:etiology*; D011256:Pregnancy Outcome; D012422:Rupture, Spontaneous; D012482:Salmonella paratyphi A / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents