Unusual Presentation of Gall Bladder Perforation

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.