M Can, M Kutlu, Ö Okur, M Ergin

Abstract

Purpose: Gallbladder perforations in infants are scarce and differ aetiologically and clinically from other biliary perforations and other age groups. In our study, we performed a literature review, including our case, to demonstrate these differences. Case Presentation: A 13-day-old boy was admitted for sudden onset of abdominal distension during treatment for jaundice. Laboratory evolution showed leukocytosis and hyperbilirubinaemia. Ultrasonography findings demonstrated a large volume of ascites. Emergency laparotomy was performed due to bile-stained ascites found on paracentesis. A cholecystectomy was performed. Rapid postoperative recovery was achieved. Conclusions: Gallbladder perforation is challenging to diagnose because it is scarce in infants and has a subacute course. Avoidable acquired factors almost always play a role in the aetiology. Simple cholecystectomy is curative in most patients and has a low mortality rate.