Abstract
Introduction Gall bladder perforation is a rare but life threatening complication of acute cholecystitis with or without stones and is associated with increased morbidity and mortality due to late diagnosis. The late diagnosis is attributed to the fact that most of them are present with the same symptoms as in an uncomplicated acute cholecystitis. Most of them are identified and confirmed by laparotomy as preoperative diagnosis is very rare,that is, on computed tomography scan and ultrasound. We are reporting two cases of gall bladder perforation. Case report The first case was a 70-year-old man who was presented to the emergency department with complaints of pain in the abdomen for 7 days and obstipation for 3 days. The second case was a 58-year-old man who was presented to the emergency department with complaints of pain in the abdomen for 1 week and obstipation for 2 days. Conclusion Gall bladder perforation is a fatal and life threatening complication of acute cholecystitis so early diagnosis is the key, as delay will result in the increase of mortality and morbidity.
Highlights
Gall bladder perforation is a rare but life threatening complication of acute cholecystitis with or without stones and is associated with increased morbidity and mortality due to late diagnosis
Gall bladder perforation is an uncommon complication of acute cholecystitis mostly seen in patients
Acute uncomplicated cholecystitis is more commonly seen in females, but gall bladder perforation is more common in males
Summary
Gall bladder perforation is an uncommon complication of acute cholecystitis mostly seen in patients. The report discusses two cases of gall bladder perforation. Case Report 1 A70-year-old man was presented to the emergency department with complaints of pain in the abdomen for 7 days and obstipation for 3 days. There were no history of nausea, vomiting, diarrhoea or burning micturition, gall bladder disease, NSAIDs or other medication and no other comorbidity and no family history of gall stones and malignancy. He was a hookah smoker for the past 30 years. Postoperative period was uneventful, and patient was discharged after 1 week
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