{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T04:21:59Z","timestamp":1686802919234},"reference-count":19,"publisher":"Royal College of Surgeons of England","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> Cholecystectomy is one of the most common elective procedures carried out by general surgeons. Most patients present with typical biliary anatomy and simple gallstone disease. Intraoperative and postoperative courses are frequently predictable and uncomplicated. Nevertheless, a small but significant number of patients experience complicated disease with rare presentations and complex biliary anatomy. Unfortunately, consensus on appropriate care for such patients is lacking. <\/jats:p><\/jats:sec><jats:sec><jats:title>CASE HISTORY<\/jats:title><jats:p> We describe three patients who presented with complex manifestations of gallbladder perforation: acute perforation of the gallbladder; a spontaneous cholecystocutaneous fistula; a cholecystoduodenal fistula. The initial presentation, preoperative investigations, and selected surgical strategy for each case are described. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> The case studies described here illustrate the need for a low index of suspicion for gallbladder perforation. Caution should be exercised in preoperative and intraoperative phases in this patient population. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2016.0274","type":"journal-article","created":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T15:38:03Z","timestamp":1471966683000},"page":"e15-e18","source":"Crossref","is-referenced-by-count":5,"title":["Perfoation of the gallbladder: \u2018bait\u2019 for the unsuspecting laparoscopic surgeon"],"prefix":"10.1308","volume":"99","author":[{"given":"Z","family":"Mughal","sequence":"first","affiliation":[{"name":"Lister Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Green","sequence":"additional","affiliation":[{"name":"Lister Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PJ","family":"Whatling","sequence":"additional","affiliation":[{"name":"Lister Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Patel","sequence":"additional","affiliation":[{"name":"Lister Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TC","family":"Holme","sequence":"additional","affiliation":[{"name":"Lister Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","first-page":"CD006231","volume":"4","author":"Keus F","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpsur.2013.04.023"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3765-6"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i48.7832"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193499060-00005"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-31802006000400012"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-014-0203-0"},{"key":"bib8","first-page":"2,321","volume":"7","author":"Singh A","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"bib9","volume-title":"Casuistisch-statistische Beitr\u00e4ge zur Pathologie und Chirurgie der Gallenwege","author":"Courvoisier LG","year":"1890"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2010.5.5"},{"key":"bib11","first-page":"138","author":"Naunyn B","year":"1892","journal-title":"A Treatise Cholei New Syndenhem Soc"},{"key":"bib12","first-page":"45","volume":"85","author":"Bonnet","year":"1897","journal-title":"Lyon Med"},{"key":"bib13","first-page":"641","volume":"26","author":"Henry CL","year":"1949","journal-title":"Surgery"},{"key":"bib14","first-page":"17","volume":"13","author":"Moolla Z","year":"2015","journal-title":"S Afr Gastroenterol Rev"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199904000-00024"},{"key":"bib16","first-page":"1,192","volume":"64","author":"Kumar SS","year":"1998","journal-title":"Am Surg"},{"key":"bib18","first-page":"166","volume":"76","author":"Malik AH","year":"2007","journal-title":"Ulster Med J"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i5.772"},{"key":"bib20","first-page":"718","volume":"93","author":"Moreno Ruiz FJ","year":"2001","journal-title":"Rev Esp Enferm Dig"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:24:58Z","timestamp":1684146298000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1308\/rcsann.2016.0274"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0274","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}