Old male with features of jaundice, pale stools, dark urine and mass in the epigastric region. Which of the following diagnosis in unlikely?: (A) Pancreatic cancer, (B) Biliary cancer, (C) Periampullary cancer, (D) Chronic cholecystitis
Answer is D. 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