Work

Laparoscopic Cholecystectomy for Necrotic Perforated Cholecystitis in a Super-obese, Highly Frail Patient: A Case Report

Year: 2026

Type: article

Abstract: Acute necrotic perforated cholecystitis is a life-threatening condition requiring urgent surgical treatment. The risk of morbidity and mortality increases in patients with high frailty. Here, we present a rare case of necrotic perforated cholecystitis treated with laparoscopic cholecystectomy in a 72-year-old female patient with a BMI of 54.6 kg/m2, diabetes, a recent cerebrovascular event, and cardiac and pulmonary diseases. She presented with abdominal pain after being hospitalized for an acute ischemic stroke two weeks prior. CT scan revealed gangrenous cholecystitis and gallbladder perforation. The patient underwent a laparoscopic cholecystectomy. No complications were observed in the postoperative period. The patient was discharged without complications. Laparoscopic cholecystectomy can be safely applied in selected patients with necrotic perforated cholecystitis who are super obese and have very high frailty due to comorbidities.

Source: Cureus

DOI: 10.7759/cureus.101869

Authors: Miray Yilmaz, Angel Oluwatobi Okpe, Asal Sabouri, Belis Sude Kemanci, Servet Karagul

Institution: Atlas Üniversitesi

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7124874108