The patient underwent laparoscopic cholecystectomy after the ultrasound examination. Due to persistence jaundice after cholecystectomy, ERCP (images not available) was done to exclude the possibility of a stone in the distal CBD. No stone was found in the CBD on ERCP; however, a mass lesion was discovered in the duodenum which was biopsied. After the histopathological confirmation of the malignancy, the patient was referred to the general surgeon for further management; however, he lost follow up.