Abstract
We report the case of a 74-year-old man with known type 2 diabetes mellitus, hypertension, and retinal detachment who was referred for endoscopic retrograde cholangiopancreatography (ERCP) because of a fever and severe upper abdominal pain for a few days. An ultrasound of his upper abdomen showed a 4 × 5-cm heterogeneous hypoechoic area in the gallbladder fossa with intrahepatic bile duct dilatation, which it was suspected was due to gallbladder cancer. He therefore proceeded to ERCP for biliary drainage.
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