Gall Bladder Perforation: A Presentation with Acalculus Cholecystits

Introduction: Gallbladder perforation and biliary peritonitis represent severe complications that can arise from acute cholecystitis. These complications pose significant risks to patients, leading to increased levels of illness and even death if not addressed promptly. Studies have shown varying rates of occurrence: one study found that 3.3% of 386 patients with acute cholecystitis experienced gallbladder perforation, while another reported a 5.9% incidence among 31 patients. Additionally, cases of gallbladder perforation have been documented in the literature, albeit rarely, in association with acute acalculous cholecystitis. Case Report: We present a case report of 55 years old female with complain of pain abdomen. Cect Abdomen was suggestive of Acalculus cholecystitis with possible rent perforation and adjacent mild ascites. Patient underwent open cholecystectomy and found Gall bladder rent near neck for which cholecystectomy done. Patient discharged with full recovery.