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Radiographic examination did not confirm GDV, but a mild peritoneal effusion was diagnosed. Abdominal ultrasound confirmed the diagnosis of peritoneal effusion, but the cause of these changes was not clarified. An increase in leukocytosis and a worsening of the clinical condition were quickly noted. It was decided to perform a CT scan, and localized ileus, gallstones, and the gallbladder showed marked irregular contours and thickening, with suspected rupture as the cause of the peritonitis. 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