Abstract
A 62-year-old man was admitted to our hospital because of epigastric pain. Computed tomography (CT) showed fluid collection around the gallbladder. Because no symptomatic remission was attained with conservative treatment and muscle defence was observed, we conducted an emergency laparotomy under a diagnosis of acute peritonitis. During surgery findings biliary ascites was found and necrotic change from the body to fundus of the gallbladder and leakage of bile juice from the site were noted. Cholecystectomy and abdominal drainage were performed. There were no stones in the gallbladder and culture of the biliary ascites was negative for bacteria. Histologically, localized necrosis was found, and cell infiltration was mild. Finally, we diagnosed idiopathic perforation of the gallbladder. The postoperative course was uneventful and the patient was discharged from the hospital on the 13th postoperative day. Since idiopathic perforation of the gallbladder are rare, we report on this case with some bibliographical comments.
