DOI: 10.36347/sajb.2016.v04i06.003

Pages: 470-472

The aim of the study was to study the gall bladder perforation and its management. This was a retrospective study, conducted on the 35 patients over a period of 10 years (2005-2015) in Department of Surgery, Dr. S. N. Medical College, and Jodhpur. Patients were studied for clinical presentations, associated risk factor, and accuracy of various diagnostic modalities, its complications and associated mortality and morbidity. GB perforation was more common in the elder age groups and in patients with associated illness like DM, IHD, and HTN etc. Common symptoms were pain abdomen, vomiting and fever. Pre-operative diagnosis was made in <50% patients. MRCP was far superior to other investigation for early diagnosis. Timely appropriate surgical intervention like total cholecystectomy/ partial cholecystectomy/chole cystostomy was helpful in decreasing morbidity and mortality. All 35 (n=35), patients were treated with surgery. 11% patients expired and 35% developed various post -operative complications. Because of old age, lack of preoperative diagnosis and surgical difficulties, gall bladder perforation was associated with high mortality and morbidity.