TYPHOID CHOLECYSTITIS.

Br Med J

Published: December 1913

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2346144PMC
http://dx.doi.org/10.1136/bmj.2.2764.1578DOI Listing

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Gallbladder perforation in acalculous cholecystitis is rare and has a high mortality rate due to biliary peritonitis and sepsis. Here, we present a case series of successful laparoscopic management of Spontaneous gallbladder perforation in acalculous cholecystitis. In the first case, a 44-year-old male patient presented to the emergency room with a history of three days of fever with chills and acute pain in the abdomen for two days.

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Article Synopsis
  • The study aimed to describe the diagnosis and treatment of biliary peritonitis through a retrospective review of 10 years' worth of patient data.
  • There were 10 cases analyzed, mostly affecting individuals around 38 years old, with symptoms stemming from either traumatic injury or typhoid infections; all patients underwent cholecystectomy.
  • The findings indicated a high rate of post-operative complications, with significant morbidity and mortality, particular due to typhoid-related cases.
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Typhoid fever is usually a mild clinical disease. Typhoid fever with massive intestinal hemorrhage is rare in the antibiotic era. Acute acalculous cholecystitis (AAC) is also rare in adults.

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