Gallbladder Perforation as a Complication of Enteric Fever: An Intriguing Case of Acute Abdomen

  • Aleena Tahir Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Mehwish Tabassum Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad
  • Wajeeha Anum Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad
  • Saba Khilji Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad
  • Manal Niazi Department of Radiology, Dr. Akbar Niazi Teaching Hospital, Islamabad
  • Mashaal Shabrani Department of Radiology, SIUT, Karachi
Keywords: Enteric fever, gall bladder perforation, Salmonella typhi, subtotal cholecystectomy

Abstract

If not identified and treated right once, gallbladder perforation—a uncommon but dangerous
consequence of acute cholecystitis—can result in significant morbidity and mortality. We describe the
example of a female patient, having 19 years of age, who had a history of constipation. The patient was diagnosed with typhoid fever and underwent imaging studies that revealed gallbladder wall perforation along its postero-inferior aspect with adjacent contained right subhepatic collection. The patient underwent diagnostic laparoscopy and subtotal cholecystectomy. This instance emphasizes how crucial it is to rule out gallbladder perforation while diagnosing acute abdomen in typhoid fever patients. Prompt surgical intervention and early diagnosis can avert major problems and enhance results.

Published
2024-07-17
Section
Case Reports