Unexpected peritonitis: Spontaneous gallbladder perforation without prior cholecystitis in an elderly patient - A case report

Spontaneous gallbladder perforation should be considered in elderly patients with an acute abdomen, even without a history of gallbladder disease. Timely imaging and surgical management are vital for favorable outcomes. Early recognition, appropriate classification, and individualized treatment planning can significantly reduce complications and improve long-term prognosis.