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Upper Hematemesis Melena Lower Hematochezia. Chronic cholecystitis occurs after repeated episodes of acute cholecystitis and is almost always due to gallstones. Gallstones, severe illness [1] [3]. Note the fat stranding around the enlarged gallbladder. Gallstones and biliary sludge , but the gallbladder wall is not clearly thickened, with no edema in the pericholecystic fat, thus not cholecystitis. Xanthogranulomatous cholecystitis XGC is a rare form of chronic cholecystitis which mimics gallbladder cancer although it is not cancerous.

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