Cecal Perforation by a Large Gallstone: An Unusual Diagnosis.

Cholecystocolic fistulas are uncommon, with rare cases of colonic obstruction described in the literature and even rarer cases of intestinal perforation due to gallstones. We describe a case of a 73-year-old man who presented to our ED with complaints of diffuse abdominal pain, vomiting, constipation, and fever for the past week. Abdomen CT showed signs of acute perforated appendicitis.

[Pneumothorax Secondary to Pulmonary Tuberculosis].

The typical clinical presentation of pulmonary tuberculosis is defined by a long-term respiratory and constitutional semiology. However, the overlapping of acute symptomatology may occur, with secondary pneumothorax being a rare but documented presentation. The authors present the case of a 58-year-old male patient who presented at the emergency room with a one day history of thoracalgia on the left hemithorax.