title: Spontaneous Intrahepatic Type II Gallbladder Perforation: A Rare Cause of Liver Abscess - Case Report.
abstract: A liver abscess formation is a rare complication of a gallbladder perforation, with a cholecystohepatic communication. Niemeier, in 1934, classified free gallbladder perforations and generalised biliary peritonitis as an acute or a Type I gallbladder perforation, a pericholecystic abscess and localised peritonitis as a subacute or a Type II gallbladder perforation, and cholecystoenteric fistulas as chronic or Type III gallbladder perforations. We are describing a 50-year-old male patient who presented with right upper quadrant pain and was found to have an intrahepatic perforation of the gallbladder. Our patient had a Type II perforation. We have discussed the diagnostic work-up and the management of this rare entity. Due to the high mortality that can be caused by a delay in making the correct diagnosis, a gallbladder perforation represents a special diagnostic and surgical challenge.
authors.affiliation: Professor & Head, Department of Surgery, Jawahar Lal Nehru Medical College , Ajmer Rajasthan-305001, India .
authors.forename: Kumkum
authors.initials: K
authors.lastname: Singh
authors.forename: Amit
authors.initials: A
authors.lastname: Singh
authors.forename: Shivaji H
authors.initials: SH
authors.lastname: Vidyarthi
authors.forename: Satyaprakash
authors.initials: S
authors.lastname: Jindal
authors.forename: Chandra Kumar
authors.initials: CK
authors.lastname: Thounaojam
keywords: Gallbladder perforation; Liver abscess; Niemeier classification