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Miscellaneous
An important pitfall in diagnosing gall bladder cancer
  1. J Feisthammel1,
  2. K Caca1,
  3. J Mössner1,
  4. T Kahn2,
  5. R Kluge3
  1. 1Department of Internal Medicine II, University of Leipzig, Leipzig, Germany
  2. 2Department of Radiology, University of Leipzig, Leipzig, Germany
  3. 3Department of Nuclear Medicine, University of Leipzig, Leipzig, Germany
  1. Correspondence to:
    Professor K Caca
    Department of Internal Medicine II, University of Leipzig, Philipp-Rosenthal-Str 27, 04103 Leipzig, Germany; cacamedizin.uni-leipzig.de

https://doi.org/10.1136/gut.2003.036947

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    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 …

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      BMJ Publishing Group Ltd and British Society of Gastroenterology
      Gut 2004; 53 1664-1664 Published Online First: 11 Oct 2004.