Vinai TunitiyasawasdikulVajaraphongsa BhudhisawasdiSiri Chau-inVallop Laopaiboon2011-02-242011-02-242010-05-082010-05-08Srinagarind Medical Journal (SMJ); Vo. 4 No. 4 October-December 1989; 283-288http://imsear.searo.who.int/handle/123456789/133825 A Retrospective study at Srinagarind Hospital during the 5 year period of 1983-1987 , These were 10 cases of perforated gall bladders, an average of two cases per year, Five cases were free perforation with generalized peritonitis and another five were Subacute perforation with pericholecystic collection. These were 6 male and 4 female with an average age of  55.5 years. These were no serious associated diseases found on these patients. All cases had their gall bladders removed. Nine out of ten had common bile duct exploration . Two cases of tumour and 4 cases of common bile duct stone were found as the cause of obstruction. There were no perioperative-death . Only 3 minor operative complications were encountered younger age without associated disease and early cholecystectomy may be the main contribution to the good result.en-USAcademic Affairs, Faculty of Medicine, Khon Kaen University, KhonKaen, ThailandCase Report