Type II gallbladder perforation. A rare clinical case

Abstract

Gallbladder perforation is now a rare condition due to early diagnosis and treatment of gallstone disease and occurs in less than 1% of patients operated on for cholelithiasis. It was originally classified into 4 types according to Niemeier but has been modified over the course of time. The clinical presentation can be acute, subacute or chronic. Lithiasis is the most common cause of perforation. The therapeutic approach can be carried out by percutaneous intervention or by surgery, depending on the case.
The aim of this presentation is to report the case of a 66-year-old woman with a history of mild acute pancreatitis who presented with subacute perforation of the gallbladder into the liver secondary to acute cholecystitis associated with migration of a gallstone into the liver and with pericholecystic abscess which was successfully managed in a one stage fashion by laparoscopic surgery.