HighlightsSpontaneous CBD perforation is one of the rare causes of acute abdomen.Ideally managed with T-tube drainage of the CBD along with cholecystectomy.Bilious peritoneal tap, features of generalized peritonitis and absence of free gas under diaphragm in abdominal x-ray may be considered as clues for suspicion of CBD perforation.

HighlightsGastric Schwannoma is a rare neoplasm of stomach.It mimic clinically and radiologically with Gastric GIST.Immunohistochemical study can differentiate these two tumors.

Meckel's diverticulum, the most common congenital anomaly of small bowel although usually silent, can cause complications like intestinal obstruction, bleeding, diverticulitis, perforation etc. We report a case, which presented with acute onset of abdominal pain which was clinically and sonographycally diagnosed as acute appendicitis. Abdomen was explored with a midline incision, as X-ray abdomen showed free gas under diaphragm and a perforated Meckel's diverticulum was found which was managed by resection of the same with adjacent ileum and end to end anastomosis. For preoperative diagnosis of Meckel's diverticulitis with perforation clinical suspicion should be high, especially when diffuse peritonitis and gas under right dome of diaphragm is seen in X-ray of abdomen.

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review