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Gallbladder carcinoma

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Fall, right pelvic pain.

Patient Data

Age: 75 years
Gender: Female
ct

Polypoid gallbladder mass invading the inferior right hepatic lobe. 

No metastases. 

Minimally displaced right superior pubic ramus and pubic body. Pelvic sidewall hematoma. 

Case Discussion

Patient presented with pelvic pain after fall, with trauma scan showing right pubic ring fractures and extraperitoneal hematoma. 

After identifying key trauma findings, it is also important to perform a "non-trauma" search pattern, particularly in elderly patients. This patient has incidentally detected biopsy-proven gallbladder carcinoma.

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