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Two of the most common causes are acute appendicitis and acute cholecystitis (Ferris et al., 2017).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation<\/jats:title>\n                    <jats:p>A 70-year-old man presented with acute calculous cholecystitis. He subsequently deteriorated clinically and re-imaging revealed interval migration of stones from the biliary system to the appendix with resultant acute appendicitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Although both acute appendicitis and acute cholecystitis are common, dual pathology is rare. There are a small number of case reports of gallstones causing appendicitis (Vicari, 1964; Siegal et al., 1990; Meade, 1960).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our case report nicely illustrates.<\/jats:p>\n                    <jats:p>a) The importance of considering dual pathology, especially when there is an unexpected change in the patient\u2019s clinical status.<\/jats:p>\n                    <jats:p>b) The CT features of two common acute surgical pathologies.<\/jats:p>\n                    <jats:p>c) The value of cholecystostomy- performed in the Interventional Radiology suite- as a temporizing measure to allow the patient to recover from a critical illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.105658","type":"journal-article","created":{"date-parts":[[2021,2,21]],"date-time":"2021-02-21T11:39:59Z","timestamp":1613907599000},"page":"105658","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["The Rolling Stones"],"prefix":"10.1097","volume":"80","author":[{"given":"Gerard","family":"Lambe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazel","family":"O\u2019Neill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Doran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noel E.","family":"Donlon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niall","family":"McEniff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-71-20260114","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1148\/radiol.2531090302","article-title":"Imaging patients with acute abdominal pain","volume":"253","author":"Stoker","year":"2009","journal-title":"Radiology"},{"key":"R2-71-20260114","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/SLA.0000000000002188","article-title":"The global incidence of appendicitis: a systematic review of population-based studies","volume":"266","author":"Ferris","year":"2017","journal-title":"Ann. 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