title: Synchronous presentation of acute acalculous cholecystitis and appendicitis: a case report.
abstract: BACKGROUND
  Acute acalculous cholecystitis is traditionally associated with elderly or critically ill patients.
  
  
  METHODS
  We present the case of an otherwise healthy 23-year-old Caucasian man who presented with acute right-sided abdominal pain. An ultrasound examination revealed evidence of acute acalculous cholecystitis. A laparoscopy was undertaken and the dual pathologies of acute acalculous cholecystitis and acute appendicitis were discovered and a laparoscopic cholecystectomy and appendectomy were performed.
  
  
  CONCLUSIONS
  Acute acalculous cholecystitis is a rare clinical entity in young, healthy patients and this report describes the unusual association of acute acalculous cholecystitis and appendicitis. A single stage combined laparoscopic appendectomy and cholecystectomy is an effective treatment modality.
authors.affiliation: Department of General Surgery, St Columcille's Hospital, Loughlinstown, County Dublin, Ireland. drjohnpburke@yahoo.ie.
authors.forename: Shaheel M
authors.initials: SM
authors.lastname: Sahebally
authors.forename: John P
authors.initials: JP
authors.lastname: Burke
authors.forename: Niamh
authors.initials: N
authors.lastname: Nolan
authors.forename: Amir
authors.initials: A
authors.lastname: Latif
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