Article Text

Download PDFPDF
Large gallstone initially diagnosed as porcelain gallbladder with malignant change
  1. Ramkumar Mohan1,
  2. Vishalkumar G Shelat2,
  3. Sameer P Junnarkar1
  1. 1Department of General Surgery, Tan Tock Seng Hospital, Singapore
  2. 2Hepato-Pancreatico-Biliary Surgery, Tan Tock Seng Hospital, Singapore
  1. Correspondence to Mr Ramkumar Mohan, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore; m.ramkumar{at}u.nus.edu

Statistics from Altmetric.com

Case presentation

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 …

View Full Text

Footnotes

  • 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.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.