Spontaneous acalculous gallbladder perforation post-cardiac transplantation.

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Sagi, Candice
Lavana, Jayshree
Franz, Robert
Bhasin, Ambika
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2018
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Abstract

Spontaneous acalculous gallbladder perforation is a rare radiological and clinical phenomenon with life-threatening consequences. In the setting of recent cardiac transplantation, the condition is increasingly uncommon and difficult to diagnose preoperatively. We describe a case of spontaneous acalculous gallbladder perforation in an intensive care unit (ICU) patient, most likely due to a combination of cardiac transplantation and immunosuppression. There are no such documented cases in the literature with an established preoperative diagnosis, to the best of our knowledge. Abdominal CT and targeted ultrasound proved complimentary in establishing the diagnosis, facilitating successful and timely treatment with urgent cholecystectomy.

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BMJ Case Reports

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2018

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© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Clinical sciences

Gastroenterology and hepatology

cardiothoracic surgery

gastrointestinal surgery

pancreas and biliary tract

radiology

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Sagi, C; Lavana, J; Franz, R; Bhasin, A, Spontaneous acalculous gallbladder perforation post-cardiac transplantation., BMJ Case Reports, 2018, 2018

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