Gallbladder carcinoma - recurrence

Case contributed by Dr Ammar Haouimi

Presentation

Had cholecystectomy 2 years ago for gallbladder polyp with no follow-up.

Patient Data

Age: 55 years
Gender: Female

Dysmorphic liver, diffusely hyperintense on T1 IP, attenuated on T1 OP in keeping with diffuse hepatic steatosis.

Hepatic mass centered on the gallbladder fossa with involvement of the segments (4 and 5). It elicits a low signal on T1 and T2 centrally and a high signal peripherally with heterogeneous enhancement on postcontrast sequences with hepatic capsular retraction. Small abdominal lymphadenopathy mainly of peripheral location (short axis ~ 8 mm).

Case Discussion

MRI features of a hepatic mass centered on the gallbladder fossa with involvement of the segments 4 and 5 of the liver, pathologically proven as a recurrence in a patient operated 2 years prior for a malignant gallbladder polyp (adenocarcinoma).

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