Acute acalculous cholecystitis and Gall Bladder perforation: An unusual presentation of enteric fever (typhoid)

Enteric fever is a common infection that has continued to be a public health problem in many developing countries. Surgical complications of enteric fever constitute a significant cause of morbidity and mortality, most common being intestinal perforation. Gall bladder perforation (GBP) is an unusual presentation of enteric fever following acalculous cholecystitis. It is particularly very rare in adoloscents. GBP is a common complication of acute calculous cholecystitis, commonly seen in adults and elderly. GBP following acalculous cholecystitis has high mortality as compared to calculous cholecystitis. We report a case of an adoloscent male who presented with peritonitis without evidence of intestinal perforation and was diagnosed to have acute acalculous cholecystitis and localized GBP due to enteric fever.