An important pitfall in diagnosing gall bladder cancer
- J Feisthammel1,
- K Caca1,
- J Mössner1,
- T Kahn2,
- R Kluge3
- 1Department of Internal Medicine II, University of Leipzig, Leipzig, Germany
- 2Department of Radiology, University of Leipzig, Leipzig, Germany
- 3Department of Nuclear Medicine, University of Leipzig, Leipzig, Germany
- Correspondence to:
Professor K Caca
Department of Internal Medicine II, University of Leipzig, Philipp-Rosenthal-Str 27, 04103 Leipzig, Germany; cacamedizin.uni-leipzig.de
Clinical presentation
A 72 year old male was admitted for recurrent right upper abdominal pain, intermittent fever, and 12 kg weight loss over a period of six months. Some liver enzymes were elevated (that is, alkaline phosphatase 10.14 µmol/l/s (norm 1.77–4.4), gamma glutamyl transferase 7.81 µmol/l/s (0.18–0.83)). CA …
