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On laparotomy, there was no evidence of duodenal or pancreatic injury on Kocher's manoeuvre and ligament of Trietz mobilisation. The gall bladder wall was stained and leaking bile, therefore a standard retrograde cholecystectomy was performed. No further intra-abdominal injuries were identified during the laparotomy. The patient made an unremarkable recovery. He was discharged home with physiotherapy for rehabilitation. We recommend a diagnostic laparoscopy and cholecystectomy for such injuries with a low threshold for duodenal explor
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