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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr01.2009.1534.
Published online Mar 15, 2010. 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
Eleanor J Turner,1 Eoghan R T C Owen,2 and Kalakata Reddy2
1Epsom General Hospital, Surgery, Dorking Road, Epsom KT18 7EG, UK
2East Surrey Hospital, Surgery, Canada Avenue, Redhill RH1 5RH, UK
Correspondence to Eleanor J Turner, ejhturner/at/
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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