An unusual case with a patient with concurrent peptic ulcer perforation and gallbladder perforation

Concurrent gallbladder and peptic ulcer perforation are both life-threatening, rare conditions that present as an acute abdomen. Here we discuss a patient who presented with acute abdomen with computed tomography (CT) scan showing evidence of hollow viscous perforation and subsequent exploratory laparotomy revealing both gallbladder and gastric perforations. The discussion involves the rarity of such reported cases and mainstay treatment, which is surgical. These rare scenarios always warrant suspicion whether there is a possible connection, or cause to this. It is also extremely important to examine for other parts of the bowel and abdominal viscera for possible second pathology, even when an obvious perforation is found as it can be missed. Early surgical intervention is important and carries a much better prognosis in such patients presenting with this.