title: Spontaneous gallbladder perforation--an unusual presentation of carcinoma of the pancreas.
abstract: A 50 year old man with a two month history of upper abdominal pain and a one month history of anorexia and weight loss, presented with icterus and evidence of peritonitis. Laparotomy revealed biliary peritonitis which had been caused by a rupture of the fundus of the gallbladder. The common bile duct was dilated and there was a large growth in the head of the pancreas with multiple hepatic metastases. A cholecystojejunostomy and gastrojejunostomy were done and the patient had an uneventful recovery.
authors.affiliation: Department of Surgery, All India Institute of Medical Sciences, New Delhi.
authors.forename: S
authors.initials: S
authors.lastname: Thomas
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.forename: A
authors.initials: A
authors.lastname: Kriplani
authors.forename: B M
authors.initials: BM
authors.lastname: Kapur
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D005705:Gallbladder Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications*; D012422:Rupture, Spontaneous