Gall bladder diverticulum

Case contributed by Dr Varun Babu

Presentation

Focal hepatic lesion identified on ultrasound.

Patient Data

Age: 40 years
Gender: Male

Large well defined hypodense lesion seen in segment VI showing peripheral puddles of arterial enhancement with centripetal filling and nearly homogenizing with liver parenchyma in delayed scan. 

Focal outpouching seen arising from the medial wall of gall bladder. No gall stones or features of bile stasis.

Gall bladder outpouching

Case Discussion

Patient came for evaluation of focal liver lesion which showed imaging features typical of a hemangioma

The focal outpouching arising from the gall bladder was an incidental findings. This is a fine example to demonstrate primary cholecystic diverticuli that occur even in the absence of cholestasis. 

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