Gangrenous cholecystitis - A case report

Gangrenous cholecystitis (gc) is a complicated variant of acute cholecystitis. it can present with varied signs and symptoms,from biliary colic to gallbladder perforation. a high index of suspicion is required to diagnose this condition in the high-risk group to avoid morbidity. herein we report a case,a 33yrs old female patient presented in emergency with pain abdomen which was colicky in nature and more on the right hypochondria radiating to back. it was moderate to severe in intensity didn't relived on taking oral analgesics. open cholecystectomy showed gangrenous patches on the gallbladder wall,cholecystectomy was done and histopathology revealed gangrenous cholecystitis. so,in case of acute cholecystitis and in the presence of risk factors,gangrenous cholecystitis should be one of the differential diagnoses in order to avoid serious complications.