Main cause of gallbladder perforation is cholecystitis with or without stones. In old age, spontaneous perforation of gallbladder can be due to decreased blood supply which can be as the result of atherosclerosis, focal vasospasm or localized vasculitis. Perforation is associated with high morbidity and mortality if left untreated. Here, we report a rare case of idiopathic and spontaneous perforation of gallbladder in a 77 years old lady.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144346PMC
http://dx.doi.org/10.1007/s12262-011-0289-3DOI Listing

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