Gallbladder cancer with metastatic porta hepatis lymphadenopathy
Diagnosis almost certain
Presentation
Abdominal pain.
Patient Data
Age: 70 years
Gender: Female
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A 36 x 24 mm enhanced mass is seen at fundus of gallbladder. A 52 x 47 mm mass with lobulated margin is also present at porta hepatis, accompanied with encasement of CBD and portal vein with a filling defect suspicious for portal vein tumor thrombosis. Intrahepatic bile ducts are dilated .
Fat plane between the porta hepatis mass and head of the pancreas is obliterated but there is no evidence in favor of direct invasion.
Case Discussion
Gallbladder mass (path proven adenocarcinoma) with metastatic portahepatis lymphadenopathy, tumoral encasement of the CBD and a filling defect suspicious for portal vein tumor thrombosis.
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