The gallbladder is markedly and irregularly thickened; the mucosa shows extensive ulceration and
there is calculus material in the wall at several points. The outer surface of the gallbladder shows
adhesion by omental fat and one area where the liver is firmly adherent to the bladder. Mounted
with the specimen are the stones which were present.
This woman presented at the age of 71 with indigestion; she complained of a dull
persistent ache at the lower end of the sternum radiating around both sides. There was tenderness
in the right upper quadrant of the abdomen and a nodular mass was palpable.