The purpose of this article was to explain that gallbladder rupture is a dangerous condition which requires immediate medical attention and the risks associated with patients failure to disclose medical history. The journal article was not based on a hypothesis, but rather a case study.
Gallbladder rupture with septated fluid and gallstones are uncommon. In this clinical case, a 91-year-old female with a six-month history of recurrent upper right pain was admitted to the emergency room for immediate medical examination. The patient failed to disclose information regarding her previous conditions and symptoms to the doctor and how it had worsened over the last week. She had two previous surgeries: perforated ulcer and bilateral ovarian cystectomy.…show more content… The laboratory tests showed an extremely high level of amylase, lipase, and white blood cell count. Abdominal X-ray and ultrasound were also used to diagnose the patient. Although abdominal X-ray revealed no acute disease, the ultrasound, on the other hand, reported pancreatitis, cholelithiasis, and thickening of the gallbladder wall. The septated fluid was also found all over the abdominal and pelvic cavity. Since other pathologies such as ovarian cancer, metastatic disease, or gallbladder disease can also result in septated ascites, it was difficult to determine the cause of the ascites. Thus, ultrasound-guided paracentesis was performed, and the greenish fluid was found to be bile. The collection of bile that was trapped was due to the previous surgeries, and further examination determined that the gallbladder was necrotic and there was a perforation just above the cystic duct (Bouffard et al., 2002). As a result, cholecystectomy was performed. Closer examination of the gallbladder revealed chronic cholecystitis, necrosis, and multiple gallstones within the
