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Beware of the porcelain gallbladder during laparoscopic cholecystectomy.
Authors:N T Welch  R J Fitzgibbons  R A Hinder
Institution:Creighton University, School of Medicine, Department of Surgery, Omaha, Nebraska 68131.
Abstract:Technical problems of retraction and hemorrhage during laparoscopic removal of a porcelain gallbladder are described. Although laparoscopic cholecystectomy was successful, a blood transfusion was required. We believe that porcelain gallbladder is a relative contraindication to laparoscopic cholecystectomy. The merits of plain radiography, computed tomography, and ultrasound in making the diagnosis are also discussed.
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