Reviewer's report 
 Acute cholecystitis with massive upper gastrointestinal bleed: a case report and review of the Title: 
literature 
 2  20 November 2006 Version: Date: 
 Markus Buechler Reviewer: 
Reviewer's report: 
General 
The present case report illustrates a rare image (bleeding from an aneurysma of the cystic artery) of a 
common gastrointestinal disease (upper gastrointestinal haemorrhage). It demonstrates a certain method to 
manage the problem and delivers a broad view on the literature. In this regard the paper is potentially worth 
for publication. But in agreement with the reviewer Muhammed Ashraf Memon we would suggest to do 
some revision. Especially the fact that there were clots in the CBD as well as in the duodenum should be reconsidered. Probably, the aneurysma eroded into the CBD as well as into the duodenum. A possible 
reason for the fact that there was no bleeding from the papilla might be that the way out through the 
ulceration of the duodenal wall was easier. Furthermore, I agree that the English should be revised, and all the other critics by the reviewer Muhammed Ashraf Memon should be followed. Additionally, I would claim for a consistent use of abbreviations throughout the whole paper after a proper definition 
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Major Compulsory Revisions (that the author must respond to before a decision on publication can be reached) 
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Minor Essential Revisions (such as missing labels on figures, or the wrong use of a term, which the author can be trusted to correct) 
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Discretionary Revisions (which the author can choose to ignore) 
Reviewer's report 
 Acute cholecystitis with massive upper gastrointestinal bleed: a case report and review of the Title: 
literature 
 2  20 November 2006 Version: Date: 
 Markus Buechler Reviewer: 
Reviewer's report: 
General 
The present case report illustrates a rare image (bleeding from an aneurysma of the cystic artery) of a 
common gastrointestinal disease (upper gastrointestinal haemorrhage). It demonstrates a certain method to 
manage the problem and delivers a broad view on the literature. In this regard the paper is potentially worth 
for publication. But in agreement with the reviewer Muhammed Ashraf Memon we would suggest to do 
some revision. Especially the fact that there were clots in the CBD as well as in the duodenum should be reconsidered. Probably, the aneurysma eroded into the CBD as well as into the duodenum. A possible 
reason for the fact that there was no bleeding from the papilla might be that the way out through the 
ulceration of the duodenal wall was easier. Furthermore, I agree that the English should be revised, and all the other critics by the reviewer Muhammed Ashraf Memon should be followed. Additionally, I would claim for a consistent use of abbreviations throughout the whole paper after a proper definition 
------------------------------------------------------------------------------- 
Major Compulsory Revisions (that the author must respond to before a decision on publication can be reached) 
------------------------------------------------------------------------------- 
Minor Essential Revisions (such as missing labels on figures, or the wrong use of a term, which the author can be trusted to correct) 
------------------------------------------------------------------------------- 
Discretionary Revisions (which the author can choose to ignore) 
Please review this paper.
user
Reviewer's report 
 Acute cholecystitis with massive upper gastrointestinal bleed: a case report and review of the Title: 
literature 
 2  20 November 2006 Version: Date: 
 Markus Buechler Reviewer: 
Reviewer's report: 
General 
The present case report illustrates a rare image (bleeding from an aneurysma of the cystic artery) of a 
common gastrointestinal disease (upper gastrointestinal haemorrhage). It demonstrates a certain method to 
manage the problem and delivers a broad view on the literature. In this regard the paper is potentially worth 
for publication. But in agreement with the reviewer Muhammed Ashraf Memon we would suggest to do 
some revision. Especially the fact that there were clots in the CBD as well as in the duodenum should be reconsidered. Probably, the aneurysma eroded into the CBD as well as into the duodenum. A possible 
reason for the fact that there was no bleeding from the papilla might be that the way out through the 
ulceration of the duodenal wall was easier. Furthermore, I agree that the English should be revised, and all the other critics by the reviewer Muhammed Ashraf Memon should be followed. Additionally, I would claim for a consistent use of abbreviations throughout the whole paper after a proper definition 
------------------------------------------------------------------------------- 
Major Compulsory Revisions (that the author must respond to before a decision on publication can be reached) 
------------------------------------------------------------------------------- 
Minor Essential Revisions (such as missing labels on figures, or the wrong use of a term, which the author can be trusted to correct) 
------------------------------------------------------------------------------- 
Discretionary Revisions (which the author can choose to ignore) 
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