? GB Perforation

A female aged 44 years with history of biliary colic on/off since 4-5 months Chief Complaints Sudden onset pain abdomen (RUQ) Severe intensity Non radiating Physical Examination P/A - Guarding (+) RUQ

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Yes unique c/o GB peforation Oedematous GB with peritonitis noted in CT abdomen Manage peritonitis and subject to cholecystectomy

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Plain xray abdomen Opinion of surgeon R/0 gall bladder perforation

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Surgeon opinion

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