Gastric perforation due to foreign body ingestion mimicking acute cholecystitis.
An 82-year-old man presented with signs and symptoms that were suggestive of acute cholecystitis. He underwent a laparoscopic cholecystectomy. During the intervention, a wooden foreign body was removed from the infiltrated omentum, probably after it had perforated the gastric antrum. The gastric perforation had led to a secondary infection of the gallbladder. The presumed gastric perforation was treated conservatively, and the patient recovered well and was discharged after 7 days. Secondary inflamed gallbladders are rare; the current case is, to the best of our knowledge, the first case reporting a secondary infection of the gallbladder due to a gastric perforation. Clinicians should be aware of possible ingestion of foreign bodies in elderly patients wearing dental prosthetic devices.
Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands.
Daniel
D
Henneman
Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands.
Willem-Maarten
WM
Bosman
Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands.
Ewan D
ED
Ritchie
Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands.
Jephta
J
van den Bremer
D015746:Abdominal Pain / Q000209:etiology*; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D041881:Cholecystitis, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D008297:Male; D009852:Omentum / Q000293:injuries*; D013270:Stomach / Q000293:injuries*; D016896:Treatment Outcome