Question 1887
{"accessible":false,"alternatives":[{"id":9370,"text":" acute free perforation"},{"id":9371,"text":" cholecystobiliary fistula formation"},{"id":9372,"text":"chronic cholecystoenteric fistulation"},{"id":9373,"text":"subacute pericholecystic abscess"}],"archived":false,"correctAlternativeId":9371,"explanation":"\u003cp\u003eThe\u0026nbsp;\u003cstrong\u003eclassification of gallbladder perforation\u003c/strong\u003e\u0026nbsp;was proposed by\u0026nbsp;\u003cstrong\u003eNeimeier\u003c/strong\u003e\u0026nbsp;and later modified by Anderson et al. in 1987, which at the time of writing (July 2016)\u0026nbsp;remains the most widely accepted classification for gall bladder perforation.\u003c/p\u003e\u003cp\u003eAccording to this classification,\u0026nbsp;there are three main clinical subtypes.\u0026nbsp;A fourth type is suggested by Andersen et al:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003etype I:\u003c/strong\u003e\u0026nbsp;acute free perforation\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003etype II:\u003c/strong\u003e\u0026nbsp;subacute pericholecystic abscess\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003etype III:\u003c/strong\u003e\u0026nbsp;chronic cholecystoenteric fistulation\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003etype IV:\u003c/strong\u003e\u0026nbsp;cholecystobiliary fistula formation\u003c/li\u003e\n\u003c/ul\u003e","id":1887,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1887","nextQuestionPath":null,"relatedArticles":[{"id":17011,"title":"Gallbladder perforation","link":"/articles/gallbladder-perforation?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eAccording to\u0026nbsp;\u003cstrong\u003eNeimeier classification\u003c/strong\u003e, which of the following features describes type IV of gallbladder perforation?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1887"}],"attemptsPercentages":[{"alternativeId":"9371","percentage":62},{"alternativeId":"9372","percentage":21},{"alternativeId":"9373","percentage":6},{"alternativeId":"9370","percentage":11}],"promptToLogin":false,"questionManager":false,"articleId":"neimeier-classification-of-gallbladder-perforation"}