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Unusual presentation of more common disease/injury
A 3 cm sealed pyloric perforation discovered during emergency cholecystectomy
  1. Eleanor J Turner1,
  2. Eoghan R T C Owen2,
  3. Kalakata Reddy2
  1. 1Epsom General Hospital, Surgery, Dorking Road, Epsom KT18 7EG, UK
  2. 2East Surrey Hospital, Surgery, Canada Avenue, Redhill RH1 5RH, UK
  1. Correspondence to Eleanor J Turner, ejhturner{at}yahoo.com

Summary

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.

https://doi.org/10.1136/bcr.01.2009.1534

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    Footnotes

    • Competing interests: None.