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Carcinoma of the Cystic Duct with Gallbladder Perforation

Ann Intern Med. 1965;63(3):475-480. doi:10.7326/0003-4819-63-3-475
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Primary carcinoma of the cystic duct is rare and has not been cited as a cause of gallbladder perforation. When an abscess forms subsequent to perforation of the gallbladder, localization is usually on the right side of the peritoneal cavity. Thus, the occurrence of primary carcinoma of the cystic duct with perforation of the gallbladder and a left subphrenic abscess is a singular combination and is the subject of this report. This case also illustrates once again intrathoracic signs and symptoms as the most prominent clinical features of infection below the diaphragm.

CASE REPORT: The patient, a 53-year-old, single white


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