Isolated gallbladder perforations following blunt abdominal trauma are very rare. They often present with insidious onset of symptoms a few days after the initial insult and an operative course of management ensues. This is in the form of a cholecystectomy and peritoneal lavage; more often via laparotomy rather than laparoscopically. Conservative management, in the form of cholecystostomy, perc...

This paper by Abi-Rached and Neugut provides an overview of the diagnosis and treatment of gallbladder carcinoma, a rare, yet frustratingly difficult disease to manage [1]. Overall, we agree with the risk factors described in this review. We would add that, in addition to chronic cholecystitis, porcelain gallbladder, and retained gallbladder (secondary to cholecystostomy), cholecysto-enteric fi...

A 42-year-old Iraqi woman with hypertension, peptic ulcer disease, and metastatic carcinoid disease presented to the emergency department (ED) with right upper quadrant pain and subjective fevers following chemoembolization for a neuroendocrine tumor of the liver diagnosed by biopsy in Iraq in 2000. The patient had undergone chemoembolization with polyvinyl alcohol particles 3 weeks prior to ar...