Gallbladder perforation: An uncommon cause of peritonitis in a child

胆囊穿孔:儿童腹膜炎的一种罕见病因

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Abstract

INTRODUCTION AND IMPORTANCE: Gallbladder perforations are infrequently encountered in the pediatric group but can be a cause of peritonitis with significant morbidity and mortality if not diagnosed and managed promptly. CASE PRESENTATION: We present a case of a 10-year-old female who presented with peritonitis due to a perforated gallbladder diagnosed by CT-scan. She was managed surgically successfully. CLINICAL DISCUSSION: Gallbladder perforation due to cholecystitis is usually seen in the elderly population but is uncommon among the pediatric population. Mortality rate can be as high as 26 % hence early diagnosis is vital. Management is mostly surgical as seen in the index case. CONCLUSION: Clinicians should keep gallbladder perforation in mind as a differential diagnosis of acute abdomen in children although uncommon.

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