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CASE REPORT
Gastric perforation due to foreign body ingestion mimicking acute cholecystitis
  1. Daniel Henneman,
  2. Willem-Maarten Bosman,
  3. Ewan D Ritchie,
  4. Jephta van den Bremer
  1. Department of Surgery, Rijnland Ziekenhuis, Leiderdorp, The Netherlands
  1. Correspondence to Dr Ewan D Ritchie, e.ritchie{at}rijnland.nl

Summary

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.

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