Spontaneous perforation of acalculous gall bladder presenting as acute abdomen.

Background: Acute abdominal pain is commonly encountered in the emergency department (ED), but a diagnosis of gall bladder perforation (GBP) is rarely considered in the absence of predisposing factors.

Objectives: This article will highlight the risk factors, diagnosis, and management of GBP, a rare but potentially life-threatening biliary pathology.

Case Report: A 73-year-old diabetic man presented to the ED with a 12-h history of severe upper abdominal pain.