Criteria are set forth for the diagnosis of a case as spontaneous perforation of a normal gallbladder. To the authors' knowledge, strict application of the proposed criteria reveals that spontaneous perforation of a completely normal gallbladder has never been described. Our case is the fourth reported instance of spontaneous perforation of grossly normal gallbladder without evidence of acute inflammation or stones.
Schour L, Bethesda , Malin J. Spontaneous Perforation of the Normal GallbladderDoes it Occur?. Arch Surg. 1973;107(3):465-467. doi:10.1001/archsurg.1973.01350210095025