A 74-year-old woman presented with a 6-month history of significant postprandial nausea and mild abdominal discomfort. She was fit and well with a surgical history of appendicectomy. Routine blood tests including… Click to show full abstract
A 74-year-old woman presented with a 6-month history of significant postprandial nausea and mild abdominal discomfort. She was fit and well with a surgical history of appendicectomy. Routine blood tests including full blood examination and liver biochemistry were normal. Ultrasonography (US) demonstrated a thickened and calcified gall bladder. This was also confirmed on CT which showed concentric thickening and calcification of the gall bladder wall that was equivocal for an underlying malignancy associated with a large gallstone (figure 1 …
               
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