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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}

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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 discussion at multidisciplinary tumour board, …

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  • Correction notice This article has been corrected since it first published. The provenance and peer review statement has been included.

  • 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.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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