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Afrimedic Journal

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Unusual Presentation of Gall Bladder Perforation

OA Egwuonwu, GU Chianakwana, OA Ulebe, TU Mbaeri

Abstract


Background: Gall bladder perforation (GBP) is a rare but life threatening complication of cholecystitis. Therefore, it continues to be an important problem for the surgeon.
Aim: To report a case of perforated gall bladder mimicking perforated peptic ulcer disease.
Methods: A case report of gall bladder perforation that was managed at the Nnamdi Azikiwe University Teaching Hospital.
Result: A 67 years old woman who had a clinical diagnosis of perforated peptic ulcer disease secondary to chronic NSAID use but with intra-operative finding of Niemeier's type II gall bladder perforation.
Conclusion: High index of suspicion is required to diagnose perforated gall bladder mimicking perforated peptic ulcer disease.

Keywords: Gall bladder perforation, Peptic ulcer disease,
Niemeier's Classification



AJOL African Journals Online