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Gallbladder adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 55 years
Gender: Male
ct

A 103 x 100 x 83 mm ill-defined low-enhancing mass in the right lower lobe of the liver that invades adjacent duodenal loop and hepatic flexure of the colon. The gallbladder cannot be separated from the mentioned mass. Lymphadenopathy is seen in the vicinity of the mass. 

The right kidney is markedly small and hardly visible. The left kidney shows compensatory hypertrophy with a few simple small cortical cysts.
A 73 x 31 mm well-defined enhancing soft tissue mass is noted in the right lower anterior abdominal wall.

Case Discussion

Gallbladder site mass with extensive liver involvement and local invasion to adjacent bowel loops - pathologically proven gallbladder adenocarcinoma.
 

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