B. Joseph Elmunzer, MD, University of Michigan
Cyrus R. Piraka, MD, University of Michigan
Richard S. Kwon, MD, University of Michigan
We present a case of a 44 y old woman with primary biliary and alcoholic cirrhosis who presented with RUQ pain and encephalopathy. Further evaluation revealed acute cholecystitis with VRE and Candida bacteremia. She was not a candidate for laparoscopic cholecystectomy or radiologic cholecystostomy tube due to her decompensated cirrhosis, with a M [...]
