Abstract
Perforation of the gallbladder has an incidence of 1.6 to 2.8% in gallbladder disease. Among these cases transhepatic rupture is a very rare event. We report a case associated with secondary massive hemoperitoneum, free gallstone spillage, partial portal vein thrombosis and secondary pulmonary embolism.
Highlights
Perforation of the gallbladder has an incidence of 1.6 to 2.8% in gallbladder disease
We report an unusual case in which the patient initially presented with right basic thoracic pain evocating pulmonary embolism
Fig. 3. — Coronal oblique MPR view illustrating the partial thrombosis of the hilar portal vein and the complete thrombosis of the left intrahepatic portal vein
Summary
Perforation of the gallbladder has an incidence of 1.6 to 2.8% in gallbladder disease. Among these cases transhepatic rupture is a very rare event. We report a case associated with secondary massive hemoperitoneum, free gallstone spillage, partial portal vein thrombosis and secondary pulmonary embolism. Transhepatic rupture of the gallbladder is rare, with fewer than 20 cases reported in the literature [1]. We report an unusual case in which the patient initially presented with right basic thoracic pain evocating pulmonary embolism. The definite emergency diagnosis was obtained during pulmonary angioCT
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