{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:26:08Z","timestamp":1761845168353,"version":"3.40.5"},"reference-count":5,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T00:00:00Z","timestamp":1585094400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2020,3,25]]},"abstract":"<jats:p>Gall bladder perforation is a rare but serious complication of acute cholecystitis. Gall bladder perforations commonly occur in patients with comorbidities and in association with gall stones. We report a rare occurrence of intrahepatic type II perforation of the gall bladder in a previously healthy elderly male with acalculous cholecystitis. Lack of early positive findings related to clinical assessment, laboratory workup, and imaging resulted in a challenging diagnosis. High degree of clinical suspicion and close monitoring in such patients is necessary to detect early deterioration and improve outcomes.<\/jats:p>","DOI":"10.1155\/2020\/5435921","type":"journal-article","created":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T23:30:48Z","timestamp":1585179048000},"page":"1-3","source":"Crossref","is-referenced-by-count":2,"title":["Intrahepatic Type II Gall Bladder Perforation Secondary to Acute Acalculous Cholecystitis"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3491-3660","authenticated-orcid":true,"given":"Vimaleswaran","family":"Koculen","sequence":"first","affiliation":[{"name":"Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka"},{"name":"Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0398-5197","authenticated-orcid":true,"given":"Umesh","family":"Jayarajah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka"},{"name":"Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil P.","family":"Ambawatte","sequence":"additional","affiliation":[{"name":"Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka"},{"name":"Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-012-0581-x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2011.12.004"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i48.7832"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.aidm.2013.09.007"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2007.052175"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/5435921.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/5435921.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/5435921.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T23:30:50Z","timestamp":1585179050000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cris\/2020\/5435921\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,25]]},"references-count":5,"alternative-id":["5435921","5435921"],"URL":"https:\/\/doi.org\/10.1155\/2020\/5435921","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"type":"print","value":"2090-6900"},{"type":"electronic","value":"2090-6919"}],"subject":[],"published":{"date-parts":[[2020,3,25]]}}}