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BMJ Case Rep. 2010; 2010: bcr01.2009.1534.
Published online 2010 March 15. doi:  10.1136/bcr.01.2009.1534
PMCID: PMC3028007
Unusual presentation of more common disease/injury

A 3 cm sealed pyloric perforation discovered during emergency cholecystectomy


The diagnosis of acute cholecystitis is made on clinical, haematological, biochemical and radiological grounds, and laparoscopic cholecystectomy is commonly performed in the emergency setting. We report a case in which a patient diagnosed with acute cholecystitis was found to have a sealed pyloric perforation at laparoscopy as well as cholecystitis.

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