title: Spontaneous gall bladder perforation: a rare entity in infants.
abstract: Spontaneous gall bladder perforation in infants is rare. We report a 3-month-old male infant who presented with progressive abdominal distension, low-grade fever, bilateral hydrocele and acholic stools. Ultrasonography showed free fluid in the peritoneal cavity, which was bile-stained on paracentesis. Surgical exploration revealed sterile biliary peritonitis and a gangrenous gall bladder. Partial cholecystectomy with external biliary drainage resulted in satisfactory recovery.
authors.affiliation: Department of Neonatal and Pediatric Surgery, S M S Medical College, S P Mother and Child Health Institute, Jaipur.
authors.forename: Shyam B
authors.initials: SB
authors.lastname: Sharma
authors.forename: Vipul
authors.initials: V
authors.lastname: Gupta
authors.forename: Vinod
authors.initials: V
authors.lastname: Sharma
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D002763:Cholecystectomy / Q000379:methods; D005500:Follow-Up Studies; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D010538:Peritonitis / Q000175:diagnosis* / Q000601:surgery; D035583:Rare Diseases; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome