Abstract
Patient 1, an 86-year-old woman was admitted to our hospital for right hypochondrical pain. A computed tomography (CT) of the abdomen showed shrunken gallbladder and fluid collection around the gallbladder. Emergent cholecystectomy and abdominal drainage was performed. Resected specimen showed necrotic change from the body to fundus of the gallbladder and a perforation with acute ulcer. Patient 2, an 82-year-old woman was admitted to our hospital because of epigastralgia. CT showed shrunken gallbladder and fluid collection around the gallbladder. Emergent cholecystectomy and abdominal drainage was performed. Resected specimen showed necrotic change of the fundus. These 2 cases showed no gallstones and no inflammatory signs of these gallbladders, and the cultures of the ascites were negative. We diagnosed them as idiopathic perforation of the gallbladder.
Perforation of the gallbladder is usually caused by gallstone or acute inflammation. Idiopathic perforation is caused without these causes and is a rare disease. We present our two cases of idiopathic perforation of the gallbladders with bibliographical reviews.
