Volume :

3

Issue :

1

Abstract :

Gallbladder perforation (GBP) is a rare clinical entity but life threatening condition with high morbidity and mortality rates because of delay in diagnosis. Thus GBP still remains a big challenge for the surgeons. Most cases can only be diagnosed during surgery. Niemeier in 1934, classified gallbladder perforation on the basis of his observation. Inspite of many modifications this classification is still in use. GBP was classified as acute or type I for free perforation and generalized biliary peritonitis, sub acute or type II for pericholecystic abscess and localized peritonitis, and chronic or type III for cholecystenteric fistula. Here we are presenting a case series of 3 cases of gallbladder perforation of three different types as mentioned above. Common clinical symptoms in these patients were abdominal pain mainly in upper quadrant, tenderness , lump in Rt. Hypochondrium ,and peritonitis. Surgical management and some specific presentation varied according to type of gallbladder perforation . All the patients were treated surgically.