#361 gallbladder perforation

[Peter N. Robinson]

New term
gallbladder perforation
add annotation to acute cholecystitis

http://www.ncbi.nlm.nih.gov/pubmed/22210542

Def
Rupture of the wall of the gallbladder

Comment
the bile leak from a ruptured gallbladder might be contained in the extra peritoneal gallbladder fossa, and hence might not produce symptoms of peritonitis immediately.
Clinical presentation of can range from an acute generalised peritonitis to benign non-specific abdominal symptom.

Gallbladder perforation is a rare but life-threatening complica-
tion of acute cholecystitis, with a reported mortality rate of
12-42%.
1

According to the Niemeier classification the are three main clinical sub types 9:

type I - acute free perforation
type II - subacute pericholecystic abscess
type III - chronic cholecysto-enteric fistulation

http://jnm.snmjournals.org/content/31/12/1915.long

[Peter N. Robinson]

Todo: Add the Niemeier classification

[Peter N. Robinson]

The classficiation seems to refer more to a disease (combination of manifestations) rather than a phenotypic feature, we will not add it for now.