title: Ruptured gallbladder as the first presentation of breast cancer.
abstract: BACKGROUND
  Perforation of the gall bladder as a first presentation of breast cancer has not been reported.
  
  
  METHODS
  Here we present a case of an elderly lady with acute abdomen with evidence of possible perforation of gall bladder on CT scan. Histopathology of the cholecystectomy specimen revealed invasive lobular breast cancer.Her metastatic breast cancer with right sided primary discovered subsequent to her presentation with acute abdomen is managed successfully with Anastrozole.
  
  
  CONCLUSIONS
  We present a rare case of gall bladder perforation from metastatic breast cancer.
authors.affiliation: Professorial Unit of Surgery, City Hospital, Nottingham, UK. matt.jones@nottingham.ac.uk
authors.forename: M
authors.initials: M
authors.lastname: Jones
authors.forename: J
authors.initials: J
authors.lastname: Mathew
authors.forename: K E
authors.initials: KE
authors.lastname: Abdullah
authors.forename: T
authors.initials: T
authors.lastname: McCulloch
authors.forename: K L
authors.initials: KL
authors.lastname: Cheung
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D005706:Gallbladder Neoplasms / Q000556:secondary*; D006801:Humans; D012422:Rupture, Spontaneous