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WILLIAM T. FITTS, Jr., M.D.; WILLIAM E. DeMUTH, Jr., M.D.; I. S. RAVDIN, M.D.

AMA Arch Surg. 1951;63(5):702-705.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PERFORATION of the gallbladder is a rare complication of gallbladder disease. In 1943 Cowley and Harkins¹ collected 12,915 operations on the gallbladder reported in the literature and found that perforation had occurred in 433, an incidence of perforation of 2.8%. The experience at this clinic, recently reported by Fletcher and Ravdin,² is similar, with 44 instances of perforation in 2,807 gallbladder operations, an incidence of 1.6%.

Niemeier³ has classified gallbladder perforations into the following three groups: Group I, chronic perforations with a fistulous communication between the gallbladder and some other viscus; Group II, subacute perforations with the formation of a pericholecystic abscess, walled off by adhesions from the general peritoneal cavity, and Group III, acute perforations into the free peritoneal cavity. Fletcher and Ravdin² applying this classification to several reported series of perforations, found the average incidence of the three groups to be as follows: Group . . . [Full Text PDF of this Article]

Author Affiliations
PHILADELPHIA

Dr. DeMuth is a Fellow of the American Cancer Society.; From the Harrison Department of Surgical Research, School of Medicine, University of Pennsylvania, and the Surgical Clinic of the Hospital of the University of Pennsylvania.

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