Presentation
Right upper quadrant discomfort. No prior surgery. Cholecystitis?
Patient Data
There is a large 6 cm ill-defined heterogeneous mass centered on the gallbladder fossa.
The gallbladder is not separately identified.
Prominence of the common hepatic duct. No intrahepatic duct dilatation.
No lymphadenopathy at the porta hepatitis.
There is a 1 cm peritoneal nodule anteriorly in the midline.
Simple renal cysts.
Large left inguinal hernia.
Case Discussion
This patient had no prior history of hepatobiliary surgery.
On the CT, the gallbladder is not separately identified with the mass centered on the gallbladder fossa making gallbladder carcinoma a strong possibility.
Ultrasound guided biopsy was undertaken - the diagnosis was gallbladder adenocarcinoma.