title: Gall bladder perforation and biliary peritonitis in a young pregnant lady.
abstract: A rare event of acute free perforation of gall bladder with biliary peritonitis in a case of calculous cholecystitis in a 28 years old pregnant lady occurring in the absence of the usual factors associated with gall stone disease is reported. The clinical features resembled acute appendicitis and a pre-operative diagnosis could not be made. It is suggested that a thorough attempt should be made to exclude conditions mimicking appendicitis, including those of the biliary system, on finding a normal appendix at emergency appendicectomy without hesitating to convert to full laparotomy if required.
authors.affiliation: Department of Surgery, RNT Medical College, Udaipur.
authors.forename: D K
authors.initials: DK
authors.lastname: Sharma
authors.forename: R S
authors.initials: RS
authors.lastname: Panwar
authors.forename: K
authors.initials: K
authors.lastname: Kumari
mesh_terms: D000328:Adult; D005260:Female; D005705:Gallbladder Diseases / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010538:Peritonitis / Q000150:complications* / Q000601:surgery