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A 71-year-old man presented with fever and right hypochondrium colicky pain. On examination, a non-tender, palpable gallbladder was felt. Serum biochemistry revealed elevated alkaline phosphatase and gamma-glutamyl transferase, bilirubin and CA19-9 (52 units/mL). A contrast Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI) of the abdomen showed porcelain gallbladder, intraluminal mass within gallbladder and local lymphadenopathy (figure 1). Patient was offered a laparoscopic cholecystectomy with possibility of conversion to open after …
Contributors RM helped in writing the original draft, review and editing. VGS and SPJ helped in writing, review and editing and supervision. Project administration was done by SPJ.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
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