title: Conservative management of type 2 gallbladder perforation in a child.
abstract: Gallbladder perforation (GBP) is a rare but serious complication of cholecystitis and needs to be managed promptly. Acalculus cholecystitis leading to GBP is frequently associated with enteric fever and found in critically ill patients, and a surgical approach is not always feasible in such patients. Use of percutaneous tube cholecystostomy (PTC) in such patients is a known entity but it is usually followed by interval cholecystectomy. Here we report a case of perforated gallbladder in a child managed conservatively and successfully with PTC as the definitive treatment wherein cholecystectomy was avoided. The functionality of the gallbladder was confirmed by a Tc99m-HIDA scan.
authors.affiliation: Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India.
authors.forename: Vishesh
authors.initials: V
authors.lastname: Dikshit
authors.affiliation: Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India.
authors.forename: Rahul
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India.
authors.forename: Paras
authors.initials: P
authors.lastname: Kothari
authors.affiliation: Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India.
authors.forename: Abhaya
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India.
authors.forename: Ravikiran
authors.initials: R
authors.lastname: Kamble
authors.affiliation: Vishesh Dikshit, Rahul Gupta, Paras Kothari, Abhaya Gupta, Ravikiran Kamble, Krushnakumar Kesan, Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai 400022, India.
authors.forename: Krushnakumar
authors.initials: K
authors.lastname: Kesan
keywords: Gallbladder; Percutaneous tube cholecystostomy; Perforation; Spontaneous