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Can acute cholecystitis with gallbladder perforation be det..:

Tsai, Ming-Jen ; Chen, Jen-Dar ; Tiu, Chui-Mei...
The American Journal of Emergency Medicine.  27 (2009)  5 - p. 574-581 , 2009
Link: https://doi.org/10.1016/j.ajem.2008.04.024