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We present an 82 year old man with obstructive jaundice, dark urine and pale stools. On presentation his total bilirubin was 12.4. CT of the abdomen and pelvis showed dilated intrahepatic and common bile ducts with a 1.4 x 2.3 x 2.0 cm mass at the junction of the gallbladder neck and cystic duct. He underwent laparoscopic extrahepatic bile duct resection with Roux-en-Y hepaticojejunostomy. Pathology demonstrated a 2.5 x 1.5 x 1.0 cm moderately-differentiated adenocarcinoma of the gallbladder with 4 negative lymph nodes. Staging was determined to be T2 N0 (Stage II).