Perforation of Gallbladder Due to Ingested Foreign Body (Unabsorbed Pill) in a Case of Cholecystoduodenal Fistula: A Case Report

Main Article Content

Amritanshu Saurabh
Rohit Chauhan
Tayod Kumar Choudhary
Prashant Deo Ranjan


Gallbladder perforation is a rare but serious complication of cholecystitis. Presence of foreign body in gallbladder is also an extremely rare condition. Here, we report a case of gallbladder perforation due to ingestion of foreign body (unabsorbed pill) in a case of asymptomatic cholecystoduodenal fistula. Few ingested pills passed through gastrointestinal tract but one pill entered in the gallbladder lumen through a cholecystoduodenal fistula. The undigested pill was lodged in the lumen of gallbladder at its fundus and eroded the wall of gallbladder and caused perforation at the fundus of gallbladder. As per knowledge, there are very few cases reported in which most of the ingested foreign body were sharp and penetrating which caused gallbladder perforation. No case of undigested pill in the gallbladder lumen which caused serious complication like perforation has been reported till date.

Gallbladder perforation, foreign body, undigested pill, cholecystoduodenal fistula

Article Details

How to Cite
Saurabh, A., Chauhan, R., Choudhary, T. K., & Ranjan, P. D. (2020). Perforation of Gallbladder Due to Ingested Foreign Body (Unabsorbed Pill) in a Case of Cholecystoduodenal Fistula: A Case Report. Asian Journal of Case Reports in Surgery, 4(3), 10-14. Retrieved from
Case Report


Seo JK. Endoscopic management of gastrointestinal foreign bodies in children. Indian J. Pediatr. 1999;66(1 Suppl):S75-S80.

Schunk JE, Harrison AM, Corneli HM, Nixon GW. Fluoroscopic foley catheter removal of esophageal foreign bodies in children: Experience with 415 episodes. Pediatrics. 1994;94:709.

Vizcarrondo FJ, Brady PG, Nord HJ. Foreign bodies of the upper gastrointestinal tract. Gastrointest Endosc. 1983;29:208.

Wisniewski RM, Stone DD, Fang JC. An esophageal foreign body impaction from a Tums E-X tablet. Gastrointest Endosc. 1997;45:518.

Nakao A, Okamoto Y, Sunami M, Fujita T, Tsuji T. The oldest patient with gallstone ileus: Report of a case and review of 176 cases in Japan. Kurume Med J. 2008;55: 29-33.

Ayantunde AA, Agrawal A. Gallstone ileus: Diagnosis and management. World J. Surg. 2007;31:1292-1297.

Masannat Y, Masannat Y, Shatnawei A. Gallstone ileus: A review. Mt Sinai J. Med. 2006;73:1132-1134.

Anderson BB, Nazem A. Perforations of the gallbladder and cholecystobiliary fistulae: A review of management and a new classification. J Natl Med Assoc. 1987;79:393-399.

Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc. 1995;41:39–51.

Sung SH, Jeon SW, Son HS, et al. Factors predictive of risk for complications in patients with oesophageal foreign bodies. Dig Liver Dis. 2011;43:632–635.

Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc. 1995;41: 33–38.

Chiu YH, Hou SK, Chen SC, et al. Diagnosis and endoscopic management of upper gastrointestinal foreign bodies. Am J Med Sci. 2012;343:192–195.

Peng A, Li Y, Xiao Z, Wu W. Study of clinical treatment of esophageal foreign body-induced esophageal perforation with lethal complications. Eur Arch Otorhinolaryngol. 2012;269:2027–2036.

Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73:1085–1091.

Kunizaki M, Kusano H, Azuma K, et al. Cholecystitis caused by a fish bone. Am J Surg. 2009;198(2):e20–e22.

Safak Karacay, Koray Topçu, Selami Sözübir. A rare complication of an ingested foreign body: Gallbladder perforation. Case Rep Gastrointest Med. 2013;672572.

Chintamani, Singhal V, Lubhana P, Durkhere R, Bhandari S. Liver abscess secondary to a broken needle migration-a case report. BMC Surg. 2003;3:8.

Sarmast AH, Showkat HI, Patloo AM, Parray FQ, Lone R, Wani KA. Gastrointestinal tract perforations due to ingested foreign bodies; a review of 21 cases. BMJP. 2012;5(3):a529.

Law WL, Lo CY. Fishbone perforation of the small bowel: Laparoscopic diagnosis and laparoscopically assisted management. Surg Laparosc Endosc Percutan Tech. 2003;13(6):392‐393.