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Laparoscopic management of sealed gallbladder perforation

Epublication WebSurg.com, Sep 2011;11(09). URL: http://websurg.com/doi/vd01en3398

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  • 2011-09-15
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This video features a 62-year-old diabetic male patient who is not undergoing any treatment. He has sufferont from vague upper abdominal pain for one month. He has a past history of acute upper abdominal pain which was managed conservatively. Abdominal ultrasonography demonstrates cholelithiasis with signs of chronic cholecystitis. Blood examination reveals hyperglycemia with normal liver function tests. After controlling the hyperglycemic status, the patient is subjected to a laparoscopic cholecystectomy. There is evidence of gallbladder perforation, as the gallbladder is sealed off by the omentum. The gallbladder presents a large amount of calculi which are visible through the thin wall of the gallbladder, and some calculi almost protruding out through the wall. The laparoscopic cholecystectomy is performed successfully with caution not to soil the peritoneum.