SPONTANEOUS PERFORATION OF THE GALLBLADDER FROM CHOLECYSTITIS WITH ACUTE APPENDICITIS IN PREGNANCY - A CASE-REPORT

BACKGROUND: Spontaneous perforation of the gallbladder is an uncommon and serious complication of cholecystitis. CASE: A 36-year-old multipa ra suffered a spontaneous rupture of the gallbladder from acute cholec ystitis at 10 weeks' gestation. This caused bile peritonitis from Salm onella paratyphi. In addition, she had simultaneous acute appendicitis , which was confirmed histologically. After cholecystectomy, appendect omy and antibiotic therapy, her pregnancy progressed uneventfully to t erm delivery.CONCLUSION: This was the second patient with spontaneous rupture of the gallbladder during pregnancy cared for at Women's Hospi tal of the Los Angeles County/University of Southern California Medica l Center in a six-year period.