A markedly enlarged and thickened gallbladder, showing a roughened lining with what appears to
be an exudate in the fundal area. There are no stones with the specimen but, in the lower part, there
are indentations in the wall, consistent with the presence of stones.
This woman presented at the age of 74 with abdominal pain and nausea, and a mass in
the right upper abdomen. Some two-and-a-half years later, she developed an obstructive jaundice
and a stone was removed from the common duct. Some two months later small bowel adhesions