bile peritonitis

Complications include hemorrhage, bile peritonitis, penetration of viscera, and pneumothorax.

Bile peritonitis developed in the patient in whom access was lost and a surgical cholecystostomy was done, followed by a further percutaneous removal of residual stones.

It is important that the clinician recognize the possibility of bile peritonitis early and confirm diagnosis via HIDA scan to lower morbidity rate.

Based on fair evidence, screening would result in rare but serious side effects associated with needle aspiration cytology such as needle-track seeding, particularly of lesions more than 2 cm in diameter, and hemorrhage, bile peritonitis, and pneumothorax.

If an accessory bile duct goes unrecognized at the time of the gallbladder removal, 5-7 days post-operative the patient will develop bile peritonitis, an easily treatable complication with a morbidity rate of 44% if left untreated.