Gall bladder perforation: critical analysis of management at tertiary care centre

Background: Gall bladder perforation (GBP) is a rare complication of acute cholecystitis. Despite considerable advancements in diagnostic and therapeutic modalities, morbidity mortality continues to be high, owing delay diagnosis ill-defined treatment protocols. Methods: We reviewed demographic profile, management strategies employed 28 patients at our centre from Jan 2018 till Jul 2020. Patients were classified based on Niemeier classification. Results: A total identified but 3 excluded due paucity data. There 21 type II 02 each I III. Diagnosis GBP was CECT 18 patients. In with perforation, 03 underwent emergency laparoscopic cholecystectomy (LC) though one required conversion. Twelve managed conservatively followed by interval after mean duration 14 weeks. Of these 08 successfully LC converted open surgery. One patient radical intraoperative suspicion carcinoma. 06 percutaneous drainage collection 23 Histopathology revealed chronic cholecystitis 16 patients, 05, carcinoma xantho-granulomatous patient. Conclusions: should early for suspected cases intervention used unresponsive conservative measures alone. are higher chances success performing weeks leading better outcomes.