DRHC Dubai General Surgery Clinic-1

Perforated Gall Bladder - Dubai General Surgery Clinic

Perforated Gall Bladder– A Comprehensive Overview

Perforated Gall Bladder – Causes, Symptoms And Treatment Options

  • The perforation of the gall bladder is a rare yet fatal health condition that often results from acute cholecystitis. 
  • The number of patients, suffering from this problem has decreased significantly over the past several years, thanks to the increase in the number of cholecystectomies being performed. However, there are still a large number of patients, who suffer from this fatal ailment mainly due to lack of knowledge about the damaging effects of untreated gallstones.
  • The best ways to avoid the damaging and even the life-threatening effects of the perforated gall bladder is to ensure its proper and timely perforated gallbladder treatment with the right Doctor . This can be done by becoming aware about the following aspects of the disease.

Read : What is gallbladder disease? When or why should a person have their gallbladder removed?


Causes And Symptoms

  • As mentioned before, the perforation of gall blader is a complication resulting from the lack the timely treatment of gallstones. However, several other reasons might be responsible for the development of this condition amongst patients. These generally include infection, malignancy, trauma, corticosteroid therapy, diabetes mellitus, impaired vascular supply and even old age.
  • The perforation may occur as early as within just two days after the onset of acute cholecystitis or as long as after several weeks after the problem has developed. The actual time duration varies from patient to patient and depends upon a variety of factors, including their general health conditions and lifestyle.
  • Most patients suffering from the issue experience extreme pain in the right upper quadrant of the abdomen. In addition the presence of fever, palpable right upper quadrant mass and tenderness in the area are also indicative of the perforation of the gall bladder.
  • A clinical examination might also reveal an elevation of liver enzymes, especially alkaline phosphate.

Diagnosis And Treatment Of The Problem

  • Traditionally doctors relied on clinical analysis and radiological aids to diagnose the problem of perforated gall bladder. However, today doctors use perforated gall bladder ultrasound to get a confirmed diagnosis. In some cases, the doctors might even suggest a CT scan or an MRI to become completely sure about the presence of the problem or even the exact level of perforation. 
  • The most common method of treating the condition is by performing a surgical procedure to remove the gall bladder. The surgery might be conducted either as an open procedure or a laparoscopic one, though the former is generally preferred by most medical professionals. Although some patients might be advised a percutaneous cholecystostomy, the mortality rate of such procedures is extremely high.


Complications Associated With The Procedure

  • Like most other surgical treatments, the procedure of perforated gall bladder has its own set of associated risks and complications.
  • The most common of these include formation of hepatic abscess, subhepatic abscess and pelvic abscess. Some patients might also experience other perforated gall bladder complications such as bile peritonitis, pneumonia, pancreatitis and acute renal failure.
  • In case, the patients experience any other symptoms or problems after the procedure, they should immediately contact their doctor rather than opting for self-medication.
  • It is also important for the patients to adhere to the pre and post surgical precautions and other care instructions to avoid the problem from becoming a major life-threatening issue and ensuring complete and speedy recovery.

Read :


The Need of Upper Gastrointestinal Endoscopy Before Gallbladder Surgery


New Techniques in Surgical Removal of Gallbladder


Gallbladder Polyps: What to Do?