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KMID : 0377619760300040487
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Korean Jungang Medical Journal
1976 Volume.30 No. 4 p.487 ~ p.491
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Spontaneous Multiple Perforation of the Gall Baldder due to Acute Cholecystitis -Two Case Reports
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Abstract
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Although rare perforation of the gall bladder is associated with high mortality.
Perforation of the gall bladder is usually a consequence of acute cholecystitis with gangrene but occasionally results from other special conditions such as typhoid.
One of the early classical articles on the subject of perforation of the gall bladder is by McWilliams(19I2). Strohl et al. reported an incidence of perforation in acute￢cholecystitis of about 8 3 percent, and Glenn cites a mortality rate of from 5.8 to 75 percent; with an average 25.5 percent.
Therefore, early or emergency operation for acute cholecystitis has been advised by many authors to avoid this mortality.
This recommendation is justified since mortality and morbidity of, holecystectomy are low (1 to3 per cent). Also, mortality rates of emergency or early cholecystectomy and elective operation, appear to be the same.
Authors are about to report two cases of spontanenous multiple perforation of gall bladder due to acute cholecystitis in one 58 year old female and the other 54 year old female in which the patients made recently a complete recovery following a surgical removal of the perforating gall bladder and abdominal drainage with massive antibiotics.
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