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Special Feature
January 1, 2008

Image of the Month—Quiz Case

Author Affiliations

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


Grace S.RozyckiMD

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

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.

Figure 1. 
Abdominal echography showing a parietal thickening of the gallbladder.

Abdominal echography showing a parietal thickening of the gallbladder.

What Is the Diagnosis?

A. Lithiasis of the gallbladder

B. Adenocarcinoma of the gallbladder

C. Neuroendocrine carcinoma of the gallbladder

D. Cholesterol polyp