{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T22:59:07Z","timestamp":1767135547751,"version":"build-2238731810"},"reference-count":12,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>This is a challenging case where the surgeon has initially thought it is a gallbladder (GB) mucocele. The surprise finding of a mucocele during an emergency laparotomy highlights the deceptive nature of certain clinical manifestations within the hepatobiliary domain. The intraoperative discovery of a 1\u00d71\u2009cm\u2009GB hole on the right lateral wall of the GB fundus revealed an unexpected and significant deviation from the hypothesized pathogenesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>This case report provides a complicated diagnosis scenario for a hepatobiliary illness aggravated by schizophrenia. Arriving with frequent nausea and vomiting, a 70\u2010year\u2010old female patient with schizophrenia missed typical symptoms of gallbladder (GB) disease, including fever and stomach discomfort. This odd look and corroborative imaging showing a cystic lesion in the right belly led to a diagnostic suspicion of a sizable GB mucocele. But a surprising result from an emergency laparotomy revealed a significant GB perforation, different from the previous diagnosis. This case highlights the difficulties in identifying atypical GB diseases, particularly in individuals with mental comorbidities that could conceal or alter the expression of physical symptoms. To confirm or rule out differential diagnosis and allow early and tailored treatments, it emphasizes the need for thorough diagnostic tests, including a complete clinical history, physical examinations, laboratory analysis, imaging modalities, and surgical procedures. This case emphasizes the importance of careful examination in complex medical contexts by stressing the requirement of thorough assessments and comprehensive diagnostic frameworks in navigating challenging clinical situations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.9284","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T01:24:20Z","timestamp":1723771460000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suspected large gall bladder mucocele extending from right hypochondrium up to right iliac region turned out to be gall bladder perforation in a patient with schizophrenia: A rare case report and literature review"],"prefix":"10.1002","volume":"12","author":[{"given":"Ashok","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of General Surgery BRD Medical College  Gorakhpur India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9933-5163","authenticated-orcid":false,"given":"Prashant","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Department of General Surgery BRD Medical College  Gorakhpur India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6801-0633","authenticated-orcid":false,"given":"Harendra","family":"Kumar","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7566-3843","authenticated-orcid":false,"given":"Dattatreya","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of General Surgery Raiganj Govt Medical College and Hospital  Raiganj India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1083-4942","authenticated-orcid":false,"given":"Divyansh","family":"Tiwari","sequence":"additional","affiliation":[{"name":"BRD Medical College  Gorakhpur India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9393-1215","authenticated-orcid":false,"given":"Aymar","family":"Akilimali","sequence":"additional","affiliation":[{"name":"Department of Research Medical Research Circle (MedReC)  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.23937\/2378-3397\/1410125"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5464.744"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0b013e3282eeb520"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1658-3612(11)70156-1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3329\/JBCPS.V33I4.28146"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/6.3.255"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/GUT.32.8.956"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.36347\/sasjs.2022.v08i09.004"},{"issue":"4","key":"e_1_2_11_10_1","first-page":"179","article-title":"Double gall bladder with two disease processes","volume":"18","author":"Gautam A","year":"1999","journal-title":"Indian J Gastroenterol"},{"issue":"2","key":"e_1_2_11_11_1","first-page":"75","article-title":"Spontaneous gall bladder perforation: a rare entity in infants","volume":"23","author":"Sharma S","year":"2004","journal-title":"Indian J Gastroenterol"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4081\/cp.2015.754"},{"issue":"3","key":"e_1_2_11_13_1","first-page":"239","article-title":"Appendiceal mucocele. A case report and literature review","volume":"82","author":"Caracappa D","year":"2011","journal-title":"Ann Ital Chir"}],"updated-by":[{"DOI":"10.1002\/ccr3.9424","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T00:00:00Z","timestamp":1725494400000}}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.9284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T00:24:29Z","timestamp":1726273469000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.9284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/ccr3.9284"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.9284","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"2024-03-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e9284"}}