While doing a lap chole on a female patient of 45 years, I put umbilical port and inspected the abdomen. The gallbladder was in a bizarre shape. I put epigastric and subcostal ports. After retraction of GB for a better view, it showed three to four lymph nodes near porta and dilated CBD and cystic ducts. The feel of GB was somewhat hard. I put aspiration needle into the GB at its body which was of no use as nothing came.
After manipulation, some bloody aspirate came. Calot was not so difficult, but I aborted the procedure in suspicion of a malignancy. USG report was of a contracted GB with irregular wall thickening. What could have been done better?
