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Gall bladder perforation is a rare but life threatening complication of acute cholecystitis. It is rarely diagnosed preoperatively, although with a high index of suspicion, awareness, diagnostic procedures such as ultrasound and CT scan scan can help in preoperative diagnosis. However, final diagnosis is usually confirmed at laparotomy. Increase in morbidity and mortality is observed when a definitive diagnosis is delayed [1].

A rare case of gall bladder perforation in acute acalculous cholecystitis