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Special Feature |

Image of the Month—Quiz Case FREE

Giuseppe Virzì, MD; Salvatore Ragazzi, MD; Placido D’Agati, MD; Sergio Caputo, MD; Davide Mascali, MD; Giovanni Ciaccio, MD; Francesco Scaravilli, MD; Diego Piazza, MD
[+] Author Affiliations

Author Affilations:First Department of Surgery, Pr. Piazza, Ospedale Vittorio Emanuele, Catania, Italy.


Section Editor: Grace S. Rozycki, MD


Arch Surg. 2008;143(1):95. doi:10.1001/archsurg.2007.20-a.
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Published online

A white 80-year-old woman was admitted to our department with postprandial pain in the right hypochondrium for 2 months. The patient's anamnesis included arterial hypertension, diabetes mellitus, and hypercholesterolemia for 10 years. Her surgical history included bilateral inguinal herniorraphy.

Blood test results, including complete blood cell counts, renal and liver functions, amylase level, carcinoembryonic antigen level, and α-fetoprotein level, were all normal.

She underwent abdominal echography, which revealed a parietal anterior thickening of the gallbladder with a 1.8-cm echogenic intraluminal formation (Figure 1). Computed tomographic scan results were normal. Laparoscopic cholecystectomy was performed without any complication. The patient tolerated the procedure well and was discharged home on the second postoperative day.

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Figure 1.

Abdominal echography showing a parietal thickening of the gallbladder.

Graphic Jump Location

WHAT IS THE DIAGNOSIS?

A. Lithiasis of the gallbladder

B. Adenocarcinoma of the gallbladder

C. Neuroendocrine carcinoma of the gallbladder

D. Cholesterol polyp

Figures

Place holder to copy figure label and caption
Figure 1.

Abdominal echography showing a parietal thickening of the gallbladder.

Graphic Jump Location

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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