Document Detail

Intrahepatic perforation of the gall bladder presenting as liver abscess: case report, review of literature and Niemeier's classification.
MedLine Citation:
PMID:  18301308     Owner:  NLM     Status:  MEDLINE    
Liver abscess formation is a rare complication of gall bladder perforation with cholecystohepatic communication. We describe a patient who presented with right upper quadrant pain and progressive confusion, and was found to have an intrahepatic perforation of the gall bladder. We discuss the diagnostic work-up and the management of this rare entity. In particular, we look at the increasing role of interventional radiology and the limits of laparoscopic cholecystectomy in the management of such cases. The discrepancies and the modifications in the classification of gall bladder perforation (Niemeier's classification) are also discussed.
Kunal Kochar; Kevin Vallance; George Mathew; Vijay Jadhav
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of gastroenterology & hepatology     Volume:  20     ISSN:  1473-5687     ISO Abbreviation:  Eur J Gastroenterol Hepatol     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-27     Completed Date:  2009-04-03     Revised Date:  2009-10-16    
Medline Journal Info:
Nlm Unique ID:  9000874     Medline TA:  Eur J Gastroenterol Hepatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  240-4     Citation Subset:  IM    
Department of Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, UK.
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MeSH Terms
Cholangiopancreatography, Endoscopic Retrograde
Cholelithiasis / complications,  radiography
Gallbladder Diseases / complications*
Liver Abscess / etiology*,  radiography
Rupture, Spontaneous / complications
Tomography, X-Ray Computed

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