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Perforation of the Gallbladder: An Evaluation of Its Significance

Perforation of the Gallbladder: An Evaluation of Its Significance Abstract Perforation of the gallbladder has been well described in its three clinical forms. However, the importance of these three types of gallbladder perforation in the consideration of the treatment of acute cholecystitis needs clarification. Much has been made of the danger of gallbladder perforation. It has been held over the head of the clinician much like the sword over Damocles, ready to drop without warning or at the slightest false move in the care of those patients with acute cholecystitis. The fear of perforation or the hope of preventing perforation is often used as an argument for immediate surgery for acute cholecystitis. A high mortality following perforation has been reported many times, although such statistics need careful evaluation in their relation to the treatment of acute cholecystitis. It is the purpose of this paper to reevaluate the danger of gallbladder perforation in the treatment of acute cholecystitis. Gallbladder perforation has References 1. Cowley, L., and Harkins, H. N.: Perforation of the Gallbladder , Surg. Gynec. & Obst. 77:661-668, 1943. 2. Edwards, C. R.; Gerwig, W. H., and Guyton, W. L.: Acute Cholecystitis with Perforation into the Peritoneal Cavity , Ann. Surg. 113:824-832, 1941. 3. Fletcher, A. G., and Ravdin, I. S.: Perforation of the Gallbladder , Am. J. Surg. 81:178-185, 1951. 4. Moragues, V., and Simon, T. R.: Perforation of the Gallbladder into the Free Peritoneal Cavity with Spontaneous Healing , Ann. Surg. 132:282-286, 1950. 5. Pines, B., and Rabinovitch, J.: Perforation of the Gallbladder in Acute Cholecystitis , Ann. Surg. 140:170-179, 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Perforation of the Gallbladder: An Evaluation of Its Significance

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1960.01290190024005
Publisher site
See Article on Publisher Site

Abstract

Abstract Perforation of the gallbladder has been well described in its three clinical forms. However, the importance of these three types of gallbladder perforation in the consideration of the treatment of acute cholecystitis needs clarification. Much has been made of the danger of gallbladder perforation. It has been held over the head of the clinician much like the sword over Damocles, ready to drop without warning or at the slightest false move in the care of those patients with acute cholecystitis. The fear of perforation or the hope of preventing perforation is often used as an argument for immediate surgery for acute cholecystitis. A high mortality following perforation has been reported many times, although such statistics need careful evaluation in their relation to the treatment of acute cholecystitis. It is the purpose of this paper to reevaluate the danger of gallbladder perforation in the treatment of acute cholecystitis. Gallbladder perforation has References 1. Cowley, L., and Harkins, H. N.: Perforation of the Gallbladder , Surg. Gynec. & Obst. 77:661-668, 1943. 2. Edwards, C. R.; Gerwig, W. H., and Guyton, W. L.: Acute Cholecystitis with Perforation into the Peritoneal Cavity , Ann. Surg. 113:824-832, 1941. 3. Fletcher, A. G., and Ravdin, I. S.: Perforation of the Gallbladder , Am. J. Surg. 81:178-185, 1951. 4. Moragues, V., and Simon, T. R.: Perforation of the Gallbladder into the Free Peritoneal Cavity with Spontaneous Healing , Ann. Surg. 132:282-286, 1950. 5. Pines, B., and Rabinovitch, J.: Perforation of the Gallbladder in Acute Cholecystitis , Ann. Surg. 140:170-179, 1954.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Feb 1, 1960

References