Surgical Management of Cholecystitis with Chronic Perforation and Liver Abscess Associated with Choledocholithiasis

Calculous cholelithiasis represents about 90% of acute cholecystitis. The high incidence of the disease demonstrates the importance of knowing its clinical manifestations such as pain in the right hypochondrium, anorexia, nausea, vomiting and jaundice, in addition to its serious complications such as liver abscess and intrahepatic perforation. In the case described, we report a 72-year-old male patient who had asthenia about two months ago in association with anorexia and weight loss, with choledocholithiasis as a complication with gallbladder perforation and liver abscess. The study will present the pathogenesis of these complications and will correlate to the importance of a fast and effective care.