Gall bladder perforation in a 15 days old infant, an extremely rare case: A case report

Neonatal perforated gallbladder is a rare and implausible surgical emergency. Pneumoperitonium and neonatal intestinal obstruction are the main clinical presentations. Many cases of neonatal perforated gallbladder had no clear pathology. Most proper treatment is cholecystectomy during formal exploration. Gallbladder perforation due to cholecystitis is usually seen in the elderly population but is uncommon among the pediatric population. Mortality rate can be as high as 26 % hence early diagnosis is vital. Management is mostly surgical as seen in the index case. Our case is a 15 days old infants after falling from hand of parents more less 1 meter from earth admit with crying, abdominal sensivity and Us shows liquids and pneumoperitonium,in laparotomy we find rupture of gall bladder and do cholecyctectomy for her, and discharge her healthy. Although perforated gallbladder is a rare entity and in most of cases does not cause pneumoperitonium, but perforated gallbladder should be taken in account of all cases of pneumoperitonium.