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Acalculus cholecystitis is an uncommon cause of postoperative paralytic ileus and usually occurs in severely ill patients. The exact pathophysiology is unknown. Its presentation is usually masked by the underlying severe illness. Complication rates are high compared to calculus cholecystitis. It is rarely reported after urological procedures and has not been reported after radical cystectomy. Early diagnosis and intervention is associated with favourable outcome. The present case focuses on the need for early investigation and management of unsettled abdomen after radical cystectomy with ileal conduit.

Acalculous Cholecystitis with Spontaneous Gall Bladder Perforation in a Postoperative Case of Radical Cystectomy with Ileal Conduit