title: Spontaneous gallbladder perforation in a neonate.
abstract: We describe the case of a 700-g neonate who presented with abdominal discolouration, distension, and rapid clinical deterioration. At laparotomy, a perforation in the neck of the gallbladder was found, which was simply over-seen. Perforation of the gallbladder should be considered in the differential diagnosis in such neonates. The surgical management should be direct repair, without resorting to a cholecystectomy.
authors.affiliation: Neonatal Surgical Unit, St Mary's Hospital, Whitworth Park, Manchester, M13 0JH, UK.
authors.forename: Sobbia
authors.initials: S
authors.lastname: Gull
authors.forename: Michael
authors.initials: M
authors.lastname: Singh
authors.forename: James
authors.initials: J
authors.lastname: Bruce
mesh_terms: D003937:Diagnosis, Differential; D005705:Gallbladder Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007567:Jaundice, Neonatal / Q000209:etiology; D008297:Male; D012422:Rupture, Spontaneous