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  Vol. 143 No. 1, January 2008 TABLE OF CONTENTS
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Image of the Month—Quiz Case

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

Arch Surg. 2008;143(1):95.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

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 {alpha}-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 appears in full text version.
Figure 1. Abdominal echography showing a parietal thickening of the gallbladder.



What Is the Diagnosis?

A. Lithiasis . . . [Full Text of this Article]

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


RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2008;143(1):96.
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