Perforated colon cancer is considered as disseminated cancer. Though colon cancers are common, their presentation with perforated peritonitis is uncommon. Traditionally, disseminated cancers have been managed by conventional open surgery. We, herein, report the case of a 41 years old male patient who presented to the hospital with perforated transverse colonic malignancy and was managed by laparoscopy. The rationale for reporting this case is to underscore the fact that with appropriate case selection, even perforated colon cancers can be managed by minimal invasive surgery, in advanced setups by an experienced team.

The management of acute calculus cholecystitis has seen a change in management with the introduction of early laparoscopic cholecystectomy. The management of high-risk patients or Tokyo Guideline grade 3, however, is an area of concern. Drainage of the gallbladder is a bridging procedure that is performed to stabilize patients to perform an interval cholecystectomy later. Percutaneous cholecystostomy is the most common drainage procedure, with endoscopic procedures like Endoscopic trans papillary gallbladder drainage and Endoscopic Ultrasound Gallbladder drainage being reserved for patients who will not undergo surgery. In this review, we will investigate the role of early laparoscopic cholecystectomy, subtotal cholecystectomy, and drainage of the gallbladder in the management of acute cholecystitis.