Gallbladder perforation in a patient on steroid therapy.
Gallbladder perforation is a serious clinical condition. A definitive diagnosis is contentious before surgery. We discuss a case where a young patient with Crohn's disease taking oral steroids presented with an acute abdomen. CT scan demonstrated a perforated gallbladder without evidence of gallstones. The patient underwent an emergency cholecystectomy and peritoneal lavage. The history and clinical findings of this patient are reviewed to highlight perforation of the gallbladder in relation to steroid therapy.
Andrabi
Syed Imran
SI
Department of Surgery, Craigavon Area Hospital, Portadown, Northern Ireland, UK. imranandrabi@gmail.com
Ahmad
Jawad
J
Rathore
Munir A
MA
El-Hakeem
Ahmed A
AA
D000328:Adult; D002763:Cholecystectomy; D003424:Crohn Disease / Q000188:drug therapy*; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010533:Peritoneal Lavage; D011239:Prednisolone / Q000009:adverse effects*; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D011239:Prednisolone