Large gallstone initially diagnosed as porcelain gallbladder with malignant change

Correspondence to Mr Ramkumar Mohan, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore; m.ramkumar@u.nus.edu Case presentation A 71-year-old man presented with fever and right hypochondrium colicky pain. Serum biochemistry revealed elevated alkaline phosphatase and gamma-gl...

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Bibliographic Details
Published inPostgraduate medical journal Vol. 98; no. e1; p. e60
Main Authors Mohan, Ramkumar, Shelat, Vishalkumar G, Junnarkar, Sameer P
Format Journal Article
LanguageEnglish
Published England The Fellowship of Postgraduate Medicine 01.02.2022
Oxford University Press
Subjects
Cancer
Case reports
Cholecystectomy
Gallbladder
Gallbladder cancer
Gallbladder diseases
Gallstones
hepatobiliary surgery
Laparoscopy
Magnetic resonance imaging
Medical diagnosis
Peer review
Porcelain
Singapore
hepatobiliary surgery
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Summary:Correspondence to Mr Ramkumar Mohan, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore; m.ramkumar@u.nus.edu Case presentation A 71-year-old man presented with fever and right hypochondrium colicky pain. Serum biochemistry revealed elevated alkaline phosphatase and gamma-glutamyl transferase, bilirubin and CA19-9 (52 units/mL). With recent studies showing that porcelain gallbladder is not associated with gallbladder cancer, it may be prudent to consider other differentials for such findings before offering management, especially in older populations where prophylactic resection may not be needed.4 5 Since our patient was symptomatic, we believe that our surgical management of this patient was appropriate.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0032-5473
1469-0756
DOI:10.1136/postgradmedj-2020-139303