Biliary cystadenoma

Case contributed by Dr Praveen Jha

Presentation

A female presented with lump in epigastric region with some episodes of vomitting

Patient Data

Age: 50
Gender: Female
Modality: Ultrasound

A large exophytic cystic lesion is seen in liver, with evidence of peripheral and septal calcifications, and moving internal echoes on USG.

Modality: CT

Provisional diagnosis of Hydatid cyst and Biliary cystadenoma were considered. Histopathology revealed biliary cystadenoma

Case Discussion

Ultrasound confused me a lot, and I could not make out nature of mass. In fact, it was difficult to assess if its intrahepatic or a large epigastric cystic mass closely abutting liver like a large pseudopancreatic cyst. CT showed the intrahepatic lesion with close characteristics of biliary cystadenoma, but I preferred to give a differential of hydatid cyst. This case was operated and confirmed biliary cystadenoma on histological diagnosis.

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Case Information

rID: 16178
Case created: 27th Dec 2011
Last edited: 3rd Nov 2016
Inclusion in quiz mode: Included

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