Perforación de la vesícula biliar: una complicación rara de la colecistitis aguda.

espanolCaso clinico: mujer de 85 anos acude a Urgencias con cuadro clinico de dolor abdominal con fiebre asociado a leucocitosis de casi 47.000 /mm³, a la que se realizo una Tomografia Computarizada con diagnostico final de colecistitis aguda perforada complicada con abscesos perivesiculares e intrahepaticos. Discusion: La perforacion de la vesicula biliar es una complicacion rara de la colecistitis aguda que se asocia a una mortalidad relativamente alta de hasta el 70%. Los sintomas y signos clinicos pueden ser indistinguibles de los de la colecistitis aguda no complicada, lo que lleva a un diagnostico tardio, con muy mal pronostico. Conclusiones: El diagnostico precoz de la perforacion de la vesicula biliar y la intervencion quirurgica inmediata son de crucial importancia debido a la alta mortalidad que conlleva. EnglishClinical case: 65-year-old male who goes to the emergency department due to clinical symptoms of abdominal pain with a fever associated with leukocytosis of almost 47,000 / mm³, who underwent a Computerized Tomography with final diagnosis of acute perforated cholecystitis complicated by perivesicular and intrahepatic abscesses. Discussion: Perforation of the gallbladder is a rare complication of acute cholecystitis that is associated with a relatively high mortality of up to 70%. The clinical symptoms and signs may be indistinguishable from those of uncomplicated acute cholecystitis, leading to a late diagnosis, with a very poor prognosis. Conclusions: The early diagnosis of gallbladder perforation and immediate surgical intervention are of crucial importance due to the high mortality that it entails.