Abstract
We report a case of bile peritonitis due to bile leakage through the gallbladder, not associated with perforation. A 59-year-old man with upper abdominal pain was admitted to our hospital. We suspected panperitonitis due to upper gastrointestinal perforation, and an emergency operation was performed. Laparotomy showed biliary ascites around the gallbladder without cholecystic perforation nor inflammation, and no abnormal hepatic, common bile duct, or upper intestinal findings were made. We considered the possibility of bile leakage through the gallbladder, and performed a cholecystectomy. Histopathologically, the wall of the gallbladder showed thinning but no perforation or necrosis. Only 18 such cases, including our case have been reported in Japan.
