A ruptured gallbladder may present with abdominal pain, fever, and peritonitis. The clinical term for gallbladder rupture is gallbladder perforation, which is a purulent perforation of the gallbladder caused primarily by worsening cholecystitis. In patients with gallbladder perforation, bile flows into the abdominal cavity and is accompanied by severe inflammation of the gallbladder. The patient may experience abdominal pain and fever, as well as limited peritonitis if the surrounding tissues and organs encase the perforated gallbladder. If gallbladder perforation occurs in an elderly, frail, or sickly patient, infectious shock may also occur, which may even be life-threatening in severe cases. Some patients with gallbladder perforation may also experience symptoms such as nausea and vomiting, and may also have abdominal pressure, muscle tension, rebound pain, or a full, distended abdomen on examination. Due to the different physique and condition of the patients, the symptoms shown by the patients are also somewhat different. If discomfort occurs, patients are advised to go to the hospital for consultation and treatment in a timely manner.