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CASE 265: FISH BONE IN GALLBLADDER: Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 49 yo, pain in RUQ one week ago like gastric ulcer.

Ultrasound of  abdomen  suggested  gastric cancer  invasive to gallbladder and liver.

Gastroscopy and biopsy ruled out gastric cancer.

MSCT with CE detected  abscess due to perforated fundus of gallbladder and  one  foreign body like a fish bone, 3cm in length,  intra gallbladder (see 3 CT pictures).





Ultrasound of  abdomen again for verify diagnosis.also  made  same  information which was  abscess  due to  fish bone  penetrated through gallbladder wall to liver border.
(see 2 ultrasound images and video clip).



Blood tests were normal.



Operation  laparotomy removed abscess and gallbladder necrosis with fish bone inside abscess (see 3 photo).





REFERENCE: Case Report




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