Gall bladder perforation in acalculous cholecystitis

Acute acalculous cholecystitis is relatively rare as compared to the calculous cholecystitis. But complications like gangrenous changes and Gall bladder (GB) perforation is more common with acalculous variety than calculous cholecystitis.GB perforation following acalculous cholecystitis has a mortality of 10-50 % as compared to that of 1% following calculous cholecystitis. The literarature pertaining to this is very few and does not conclude a standard mangement in such cases. Hence we try to review the literature pertaining to gall bladder perforation in acalculous cholecystitis and try to predict when a surgical intervention is crucial in reducing the morbidity and mortality associated with it.