Old male with features of jaundice, pale stools, dark urine and mass in the epigastric region. Which of the following diagnosis in unlikely?
Pancreatic cancer
Biliary cancer
Periampullary cancer
Chronic cholecystitis
Ans. (d) Chronic cholecystitisRef: Long cases Surgery RRM* From the given details its clear the patient is obeying Courvoisier law- Jaundice + GB palpable.* So he is a case of cancer- Possible options include distal CBD, Periampullary or pancreatic head cancers with Obstruction of CBD
Gall Bladder & Bile Ducts