title: Diagnosis of Gallbladder Perforation-a Puzzle!
abstract: Gallstone disease is common and complications frequently encountered include acute cholecystitis, acute pancreatitis, and cholangitis, but gallbladder perforation (GBP) is rare. A definitive diagnosis is uncommon before surgery and morbidity and mortality associated with this condition are high. Reported incidence ranges between 2 and 10.6 % in patients with acute cholecystitis but is higher in patients managed conservatively. We report here five patients with GBP to show the difficulty in making an early diagnosis.
authors.affiliation: Department of Surgery, SS Medical College and SG Memorial Hospital, Rewa, Madhya Pradesh India ; Nirmal Bhavan, Dr. Ambedkar Marg, Indora Chowk, Nagpur, Maharashtra India 440017.
authors.forename: Sanjeev R
authors.initials: SR
authors.lastname: Chowksey
authors.affiliation: Department of Surgery, SS Medical College and SG Memorial Hospital, Rewa, Madhya Pradesh India.
authors.forename: Hiteshwari
authors.initials: H
authors.lastname: Baghel
authors.affiliation: Department of Surgery, SS Medical College and SG Memorial Hospital, Rewa, Madhya Pradesh India.
authors.forename: Priyank
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Surgery, SS Medical College and SG Memorial Hospital, Rewa, Madhya Pradesh India.
authors.forename: Brijesh
authors.initials: B
authors.lastname: Singh
keywords: Acute cholecystitis; Emphysematous cholecystitis; Gallbladder perforation (GBP); Gangrenous gallbladder