50F having c/o Rt Hypochondrial pain radiating to back for many months. 2 months before she went for USG abdomen which suggests multiple GB calculi.. Today she presented with extreme abdominal pain, vomiting and diarrhoea.. CBC suggestive of Mild leucocytosis. LFT, Amylase/lipase within normal range. Kindly give comments on following standing x ray & opine on further approach..!

abdominal distension with pain abdomen since 3days please suggest ur valuable opinions

52 years old male with symptoms of acute cholecystitis. USG shows CHOLELITHIASIS with acute cholecystitis and gall bladder wall thickening . Even after 1 and a half months- gall bladder wall thickening is not reduced. A CECT abdomen shows xanthogranulomatous cholecystitis with CHOLELITHIASIS. Treatment Plan in this case

62 year female.. received excised gall bladder..grossly no thickening.. Histopathology images for your comments!

Case of stone in small intestine.. Enterostomy and lithoextraction done..