Myelofibrosis presenting as chronic cholecystitis

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A 61 year old man presented with abdominal pain typical of chronic cholecystitis of one month's duration.Pallor was noted on examination and investigation uncovered myelofibrosis and a small gallstone. Cholecystectomy relieved the pain and pathological examination of the gall bladder showed widespread myeloid metaplasia. This is the first reported case of myelofibrosis presenting as chronic cholecystitis.

(J Clin Pathol 1996;49:428-429)

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