Intrahepatic Type II Gall Bladder Perforation Secondary to Acute Acalculous Cholecystitis

Abstract EN

Gall bladder perforation is a rare but serious complication of acute cholecystitis.

Gall bladder perforations commonly occur in patients with comorbidities and in association with gall stones.

We report a rare occurrence of intrahepatic type II perforation of the gall bladder in a previously healthy elderly male with acalculous cholecystitis.

Lack of early positive findings related to clinical assessment, laboratory workup, and imaging resulted in a challenging diagnosis.

High degree of clinical suspicion and close monitoring in such patients is necessary to detect early deterioration and improve outcomes.