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BMJ Case Rep. 2015 Mar 4;2015. pii: bcr2014207806. doi: 10.1136/bcr-2014-207806.

Gastric perforation due to foreign body ingestion mimicking acute cholecystitis.

Author information

1
Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands.

Abstract

An 82-year-old man presented with signs and symptoms that were suggestive of acute cholecystitis. He underwent a laparoscopic cholecystectomy. During the intervention, a wooden foreign body was removed from the infiltrated omentum, probably after it had perforated the gastric antrum. The gastric perforation had led to a secondary infection of the gallbladder. The presumed gastric perforation was treated conservatively, and the patient recovered well and was discharged after 7 days. Secondary inflamed gallbladders are rare; the current case is, to the best of our knowledge, the first case reporting a secondary infection of the gallbladder due to a gastric perforation. Clinicians should be aware of possible ingestion of foreign bodies in elderly patients wearing dental prosthetic devices.

PMID:
25739796
PMCID:
PMC4369032
DOI:
10.1136/bcr-2014-207806
[Indexed for MEDLINE]
Free PMC Article

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