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Laparoscopic management of intra-hepatic gallbladder perforation


1 Department of Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
2 Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India

Correspondence Address:
Tejas Nikumbh,
A-1, Suryadarshan CHS, Arunodaya Nagar, Mulund East, Mumbai - 400 081, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_267_18

PMID: 30618436

Intra-hepatic perforation of the gallbladder (GB) leading to hepatic abscess is a serious and rare complication of cholecystitis, with very few sporadically reported cases in the literature. Hence, there is no standard approach to treat it. A thorough radiological evaluation with computed tomography and endoscopic retrograde cholangiopancreatography is necessary before proceeding with surgery in such cases. An early laparoscopic intervention to perform a sub-total cholecystectomy with drain placement is enough to treat both cholecystitis and liver abscess in a definitive manner. While previous reports have advocated an open surgery, our series demonstrates that early laparoscopic management is a safe and suitable approach in such cases.


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    -  Bhandarwar A
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04