{"id":20675,"date":"2021-09-02T20:11:03","date_gmt":"2021-09-02T12:11:03","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/pathweb\/?page_id=20675"},"modified":"2021-09-02T20:11:56","modified_gmt":"2021-09-02T12:11:56","slug":"hpb-case-24","status":"publish","type":"page","link":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/","title":{"rendered":"Hepatobiliary case 24"},"content":{"rendered":"\r\n\r\n\t<br \/>    <iframe loading=\"lazy\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/truview360\/Test_Yourself\/Hepatobiliary\/Gallbladder_Acute_on_chronic_cholecystitis_with_cholelithiasis_0000\/HTML5Viewer.html\" width=\"100%\" height=\"500\" scrolling=\"yes\" frameborder=\"0\"><\/iframe><br \/>\r\n\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Clinical Vignette<\/a>\r\n\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t<p>A 56 year old man complaining of right upper quadrant abdominal pain radiating to the right scapula,\u00a0 fever and vomiting. A palpable, tender gallbladder was noted on physical examination.<\/p>\r\n\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Gross Description<\/a>\r\n\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t<p>The gallbladder is enlarged and the wall shows some thickening and oedema. A large rounded, brownish-black stone is seen in the neck of the gallbladder.<\/p>\r\n\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Reveal Diagnosis<\/a>\r\n\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t<p>&nbsp;<\/p>\r\n<p>Gallbladder &#8211; Acute on chronic cholecystitis with cholelithiasis<\/p>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\tTest Your Diagnostic Skills &#8211; Hepatobiliary and Pancreas\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/hepatobiliary-system-and-pancreas\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\tVirtual Pathology Museum &#8211; Hepatobiliary and Pancreas\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tMuseum Home\r\n\t\t\t<\/a>\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>Clinical Vignette Expand A 56 year old man complaining of right upper quadrant abdominal pain radiating to the right scapula,\u00a0 fever and vomiting. A palpable, tender gallbladder was noted on physical examination. Gross Description Expand The gallbladder is enlarged and the wall shows some thickening and oedema. A large rounded, brownish-black stone is seen in [&hellip;]<\/p>\n","protected":false},"author":828,"featured_media":0,"parent":20464,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-20675","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NUS Pathweb<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:description\" content=\"Clinical Vignette Expand A 56 year old man complaining of right upper quadrant abdominal pain radiating to the right scapula,\u00a0 fever and vomiting. A palpable, tender gallbladder was noted on physical examination. Gross Description Expand The gallbladder is enlarged and the wall shows some thickening and oedema. A large rounded, brownish-black stone is seen in [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/\" \/>\n<meta property=\"og:site_name\" content=\"NUS Pathweb\" \/>\n<meta property=\"article:modified_time\" content=\"2021-09-02T12:11:56+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/\",\"name\":\"\",\"isPartOf\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#website\"},\"datePublished\":\"2021-09-02T12:11:03+00:00\",\"dateModified\":\"2021-09-02T12:11:56+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Virtual Pathology Museum\",\"item\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Test your diagnostic skills! &#8211; Hepatobiliary\",\"item\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Hepatobiliary case 24\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#website\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/\",\"name\":\"NUS Pathweb\",\"description\":\"Pathology made easy\",\"publisher\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization\",\"name\":\"NUS Medicine PathWeb\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png\",\"contentUrl\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png\",\"width\":300,\"height\":61,\"caption\":\"NUS Medicine PathWeb\"},\"image\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.instagram.com\/pathweb\/\",\"https:\/\/www.youtube.com\/channel\/UC3FweZwONWAicB72vF9P5ew\/playlists\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"NUS Pathweb","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/","og_locale":"en_US","og_type":"article","og_description":"Clinical Vignette Expand A 56 year old man complaining of right upper quadrant abdominal pain radiating to the right scapula,\u00a0 fever and vomiting. A palpable, tender gallbladder was noted on physical examination. Gross Description Expand The gallbladder is enlarged and the wall shows some thickening and oedema. A large rounded, brownish-black stone is seen in [&hellip;]","og_url":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/","og_site_name":"NUS Pathweb","article_modified_time":"2021-09-02T12:11:56+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/","name":"","isPartOf":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#website"},"datePublished":"2021-09-02T12:11:03+00:00","dateModified":"2021-09-02T12:11:56+00:00","breadcrumb":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-24\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/medicine.nus.edu.sg\/pathweb\/"},{"@type":"ListItem","position":2,"name":"Virtual Pathology Museum","item":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/"},{"@type":"ListItem","position":3,"name":"Test your diagnostic skills! &#8211; Hepatobiliary","item":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/"},{"@type":"ListItem","position":4,"name":"Hepatobiliary case 24"}]},{"@type":"WebSite","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#website","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/","name":"NUS Pathweb","description":"Pathology made easy","publisher":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicine.nus.edu.sg\/pathweb\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization","name":"NUS Medicine PathWeb","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png","contentUrl":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png","width":300,"height":61,"caption":"NUS Medicine PathWeb"},"image":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.instagram.com\/pathweb\/","https:\/\/www.youtube.com\/channel\/UC3FweZwONWAicB72vF9P5ew\/playlists"]}]}},"_links":{"self":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/20675"}],"collection":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/users\/828"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/comments?post=20675"}],"version-history":[{"count":3,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/20675\/revisions"}],"predecessor-version":[{"id":20753,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/20675\/revisions\/20753"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/20464"}],"wp:attachment":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/media?parent=20675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}