Gallbladder Collapse: Has Its Incidence Increased?

Abstract

Introduction: perforation of the gallbladder is infrequent due to prompt and expeditious diagnosis and treatment of biliary pathology. Objective: to report the experience of diagnosis and treatment in patients with gallbladder bladder in a second-level health care hospital. Method: a descriptive, retrospective, longitudinal and observational study was carried out, with a descriptive statistical analysis in patients with gallbladder and/or biliperitoneum after cholecystectomy, emergency or scheduled. Results: 101 patients who underwent cholecystectomy, of which 82 were women, representing 81.18 %, and only 18 men, representing 18.82 %, with a male/female ratio of 1:5. The mean age was 53 years. Gallbladder cholecyst occurred in 12 patients, 11.88 %, 7 more with biliperitoneum 6.93 %, 5 patients with residual choledocholithiasis 4.95 %, and two with persistent jaundice 1.98 %. Discussion: an incidence of gallbladder perforation of 2 to 11 % is reported. Patients with acute cholecystitis, especially elderly people with diabetes and vascular disease, are particularly vulnerable due to microangiopathy, compromised immune response, and delayed perception of symptoms. Emergency, robotic or conventional laparoscopic cholecystectomy is indicated, as opposed to only gallbladder drainage guided by endoscopic ultrasound or cholecystostomy. Conclusions: gallbladder cholecystectomy is such a complex complication that it is reflected in high morbidity with transcendental sequelae and with a high mortality increasing its incidence exponentially. Since the delay in diagnosis and treatment secondary to a lack of infrastructure, supplies, directed health policies and correct regulations.