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Our case report nicely illustrates. a) The importance of considering dual pathology, especially when there is an unexpected change in the patient's clinical status. b) The CT features of two common acute surgical pathologies. 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. Giant cell tumor of bone (GCT is a benign-aggressive tumor that has a high-rate of recurrence with curettage resection alone. Patients with GCTB in