Sponataneous Gall Bladder Perforation - An Unusual Cause of Acute Abdomen
M. Pravin, R. Kannan, Ashiq Ahamed
Asian Journal of Case Reports in Surgery · pp. 182–186 · Published 2 Mar 2021
Abstract
Aim: To emphasise the importance of having a lower threshold for gall bladder perforation as a differential diagnosis in patients presenting with peritonitis of unknown etiology. Case Report: A 66 yr old gentleman presented with abdominal pain and distension for 2 days after a binge drink of alcohol. Clinically patient was in peritonitis. Imaging studies were not significant except for free fluid in the abdomen. Laparotomy revealed 2 litres of bile in the peritoneal cavity with a perforation in the fundus of gall bladder. Cholecystectomy was done. Conclusion: Due to high mortality and morbidity associated with gall bladder perforation, early diagnosis and surgical management is essential.
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