Gallbladder herniating through abdominal wall

Case contributed by Jörgen Strömberg
Diagnosis certain

Presentation

Palpable soft lump in the right upper quadrant. Variable size, no tenderness. In her 30s, the patient underwent some sort of surgery in the area. She cannot recall exactly what was done and relevant documentation has been lost since.

Patient Data

Age: 85 years
Gender: Female

The gallbladder can be seen herniating (axial, coronal, sagittal) through the abdominal wall. No inflammatory changes and no gallstones were observed with CT.

Case Discussion

Herniation of the gallbladder through the abdominal wall is a very rare entity. In this case, it is suspected that the herniation occurred through a previous incision, but this is uncertain. The herniated gallbladder presented as a palpable lump but was otherwise asymptomatic, and the patient declined further surgery.

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