Indian Journal of Surgery

, Volume 81, Issue 6, pp 591–593 | Cite as

Gallbladder Perforation: a Complication of Severe Acute Calculous Cholecystitis

  • Michelle Balakrishnan
  • Sherif MonibEmail author
Case Report


Gallbladder perforation is a serious complication of acute calculous cholecystitis. We are presenting a case of a 79-year-old female with severe acute calculous cholecystitis complicated by type II Niemeier gallbladder perforation and sepsis which was managed with intravenous antibiotics, followed by cholecystectomy. The early diagnosis and aggressive conservative management with immediate surgical intervention are paramount in reducing the morbidity and mortality.


Gallbladder Perforation Acute calculous cholecystitis Common bile duct Niemeier classification 


Author’s Contributions

Both authors contributed in patient’s management, literature review, and manuscript editing.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

No ethical approval was needed for this study as it is a retrospective analysis of slandered practice.

Patient’s Consent

Written informed consent was obtained from the patient to include images in the article.


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Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.General Surgery DepartmentWest Hertfordshire Hospital NHS TrustWatfordUK

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