title: Massive hemoperitoneum from transhepatic perforation of the gallbladder.
abstract: Perforation of the gallbladder occurs in 1.6%-2.8% of cases of gallbladder disease. Transhepatic rupture of the gall bladder is rare, with fewer than 20 cases reported in literature. We report a case of transhepatic rupture of the gall bladder with massive hemoperitoneum, which required emergency laparotomy and control of hemorrhage.
authors.affiliation: Department of Surgery, University of Missouri Hospital and Clinics, MC 418 McHaney Hall, One Hospital Drive, Columbia, MO 65212, USA. kolderd@health.missouri.edu
authors.forename: Dan
authors.initials: D
authors.lastname: Kolder
authors.forename: Tim
authors.initials: T
authors.lastname: Geiger
authors.forename: Ajit K
authors.initials: AK
authors.lastname: Tharakan
authors.forename: James W
authors.initials: JW
authors.lastname: Kessel
authors.forename: Ziad T
authors.initials: ZT
authors.lastname: Awad
mesh_terms: D000368:Aged; D004564:Electrocoagulation; D005704:Gallbladder / Q000293:injuries*; D005705:Gallbladder Diseases / Q000150:complications* / Q000601:surgery; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D012421:Rupture / Q000150:complications* / Q000503:physiopathology