Gall bladder perforation: A rare complication of Acute Cholecystitis

Gallbladder perforation is a rare but potentially fatal disease and therefore is a dilemma for early diagnosis. it is usually a complication of acute cholecystitis with or without gallstones. we present a case of 70 year old female with abdominal pain and fever. initial ultrasound revealed cholelithiasis with possible acute cholecystitis. clinical condition of the patient worsened and suspicion of gallbladder perforation was entertained. hence, a repeat ultrasound and ct scan was done. following this a gallbladder perforation was confirmed intra operatively.