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Undetected spontaneous gallbladder perforation in a child with cardiac cirrhosis

Authors
Journal
Journal of Pediatric Surgery Case Reports
2213-5766
Publisher
Elsevier
Volume
2
Issue
5
Identifiers
DOI: 10.1016/j.epsc.2014.05.004
Keywords
  • Cardiac Cirrhosis
  • Gallbladder Perforation
  • Biliary Peritonitis
Disciplines
  • Medicine

Abstract

Abstract A 9-year-old girl presented clinically with right-sided congestive heart failure, abdominal distension and jaundice. The patient was diagnosed with a large secundum atrial septal defect and cardiac cirrhosis. One week after surgical atrial septal defect closure, biliary peritonitis due to spontaneous gallbladder perforation was detected. The patient underwent T-tube cholecystostomy. Unfortunately, the patient died from septicemia and cardiac arrest. A delayed diagnosis of the gallbladder perforation was the major cause of mortality in our patient.

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