English

Abstract

INTRODUCTION: Gall Bladder perforation with superior mesenteric artery thrombosis causing midgut gangrene are two different pathologies occurring in a patient at same time presenting as an acute abdomen is a rare case. There is no such case reported in the literature of these two different diseases occurring together at a time in a patient. Incidence of isolated Gall Bladder perforation is reported as 3 % in cases of acute cholecystitis with mortality ranging from 12 to 16%1. Superior mesenteric artery ischemia is due to sudden hypoperfusion of small intestine leading eventually to small bowel gangrene. Acute mesenteric ischemia is a lethal disease due to delay in diagnosis by virtue of its nonspecific clinical presentation. Incidence of both the pathologies in a single patient has not been documented till date, however awareness of condition with high index of suspicion and early intervention is needed as emphasized in our case.