Gallbladder carcinoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Recurrent right hypochondrial pain and fever

Patient Data

Age: 50-55 years
Gender: Female
Modality: Ultrasound

US images revealed an irregular ill defined hypoechoic mass related to and inseparable from the GB fundus. Doppler examination reveals abnormal vascularity. Isoechoic hepatic focal lesion is seen at hepatic subsegment VI.

Modality: CT

Non contrast CT images revealed irregular slightly hyperdense mass seen related to GB fundus mildly displacing and separable from the adjacent colon. Large calcified GB stone and hepatic subsegment VI hypodense focal lesions are noted.

Case Discussion

The patient had large GB stone and recurrent attacks of acute on chronic calcuous cholecystitis. Gallbladder adenocarcinoma is developed as a complication of chronic calcuous cholecystitis.

DDx includes inflammatory mass and adenomyomatosis.

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Case Information

rID: 22962
Case created: 8th May 2013
Last edited: 22nd Nov 2016
Inclusion in quiz mode: Included

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