Carcinoma of the gallbladder with perforation.
D004378:Duodenal Diseases / Q000209:etiology; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D008875:Middle Aged; D012421:Rupture / Q000209:etiology