%0 Journal Article %T Unusual Presentation of Gall Bladder Perforation %A OA Egwuonwu %A GU Chianakwana %A OA Ulebe %A TU Mbaeri %J Afrimedic Journal %D 2012 %I %X Background: Gall bladder perforation (GBP) is a rare but life threatening complication of cholecystitis. Therefore, it continues to be an important problem for the surgeon. Aim: To report a case of perforated gall bladder mimicking perforated peptic ulcer disease. Methods: A case report of gall bladder perforation that was managed at the Nnamdi Azikiwe University Teaching Hospital. Result: A 67 years old woman who had a clinical diagnosis of perforated peptic ulcer disease secondary to chronic NSAID use but with intra-operative finding of Niemeier's type II gall bladder perforation. Conclusion: High index of suspicion is required to diagnose perforated gall bladder mimicking perforated peptic ulcer disease. %U http://www.ajol.info/index.php/afrij/article/view/86312