%0 Journal Article
%T Intrahepatic Type II Gall Bladder Perforation Secondary to Acute Acalculous Cholecystitis
%A Ambawatte
%A Anil P.
%A Jayarajah
%A Umesh
%A Koculen
%A Vimaleswaran
%J -
%D 2020
%R https://doi.org/10.1155/2020/5435921
%X Gall bladder perforation is a rare but serious complication of acute cholecystitis. Gall bladder perforations commonly occur in patients with comorbidities and in association with gall stones. We report a rare occurrence of intrahepatic type II perforation of the gall bladder in a previously healthy elderly male with acalculous cholecystitis. Lack of early positive findings related to clinical assessment, laboratory workup, and imaging resulted in a challenging diagnosis. High degree of clinical suspicion and close monitoring in such patients is necessary to detect early deterioration and improve outcomes
%U https://www.hindawi.com/journals/cris/2020/5435921/