Surgical Unit-I (EAST Surgical Ward), MAYO Hospital, Lahore, Pakistan
Case Report
A Case Report of Acalculus Gall Bladder Perforation with Huge Abdominal Cyst
Author(s): Ahmed Siddique Ammar*, Zahra Sattar and Syed Asghar Naqi
Background: Gallbladder perforation present in various forms with most common is the peritonitis. Most common causes include gallstones obstructing the cystic duct and necrosis of gall bladder due to ischemia.
Case presentation: A 19-year-old female presented in the emergency department of EAST Surgical Ward of MAYO Hospital Lahore, Pakistan with history of abdominal distension for 4 months for which she was counseled to be because of pregnancy. She gave birth to healthy baby one month back but abdominal distension didn’t resolve. On examination, she had distended and tender abdomen with visible striae. She was tachycardiac with pulse of 124 per minute and blood pressure of 110/80 mmHg. Fluid cytology showed negative for malignant cells and total leukocyte count of 17 × 109/l. Abdominal ultrasound showed a huge thickwalled cystic.. View More»