Diagnostic utility of ultrasonography and computerized tomography in gall bladder perforation: A case report

• Main Authors: B. Pun, MBBS, MD, B. Karki, MD, B. Shrestha, MBBS, MS, R. Pathak, MBBS, MD, DM, P.S. Shrestha, MBBS, MD, DM, N. Shrestha, MBBS, MD, FIPM
• Format: Article
• Language: English
• Published: Elsevier 2020-10-01
• Series: Radiology Case Reports
• Subjects: Acute pancreatitis; Gall bladder perforation; Peritonitis
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043320303757
• ISSN: 1930-0433

Gall bladder (GB) perforation can be misdiagnosed as any other more common cause of acute abdomen. We present a case of a 72-year-female who had presented to the emergency department with an acute abdomen. The clinical presentation and the biochemical markers had pointed towards acute pancreatitis. However, the ultrasonographic examination of the abdomen and the pelvis suggested GB perforation which was confirmed by the multislice computerized tomography scan. Following this the patient underwent open cholecystectomy and was successfully managed. The invaluable contributions from the radiological modalities led to the successful management of the patient.