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Image of the Month—Quiz Case
Anne Grayson Warren, BA;
Sareh Parangi, MD
Author Affiliations: Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.
Arch Surg. 2006;141:101.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
A 36-year-old man sought care after 1 week of right upper quadrant and epigastric abdominal pain. He reported that the pain was dull, constant, at times radiated to his back, and was worse postprandially. He denied nausea, vomiting, fever, or chills. On initial examination, he was afebrile with moderate tenderness in the right upper quadrant, with no guarding or rebound. A right upper quadrant mass was visible and palpable. His white blood cell count was 16.3 x 103 µL and the results of liver function tests were normal. A computed tomographic scan of the abdomen showed a markedly thickened and heterogeneous enhancing gallbladder wall (Figure 1). A gallbladder ultrasound revealed a grossly abnormal gallbladder with a thickened and hyperemic wall.
Figure appears in full text version.
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Figure 1. Computed tomographic scan of the abdomen shows a markedly thickened and heterogenous gallbladder with an enhancing gallbladder wall and . . . [Full Text of this Article]
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What Is the Diagnosis?
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2006;141(1):102.
EXTRACT
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