title: Acute gallbladder perforation with gallstones spillage in a cirrhotic patient.
abstract: Gallbladder perforation is a rare complication of cholecystitis and cholelithiasis. The high morbidity and mortality rates associated with this condition are due to delays in diagnosis and treatment since signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis. We report on a patient who was affected by Child-Pugh A alcoholic liver cirrhosis and who developed an acute gallbladder perforation with spillage of stones into the peritoneal cavity and give a review of the current literature.
authors.affiliation: Department of Surgery, Hospital of the Ludwig-Maximilians-University, Nussbaumstr, 20, 80336 Munich, Germany. Costanza.Chiapponi@med.uni-muenchen.de.
authors.forename: Costanza
authors.initials: C
authors.lastname: Chiapponi
authors.forename: Stephan
authors.initials: S
authors.lastname: Wirth
authors.forename: Matthias
authors.initials: M
authors.lastname: Siebeck