Gallbladder neck carcinoma with peritoneal disease and Sister Mary Joseph nodule
Diagnosis certain
Presentation
Abdominal pain and swelling.
Patient Data
Age: 75 years
Gender: Female
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- soft tissue thickening of the GB neck. There is also soft-tissue thickening of the GB fundus and a soft tissue nodule at the mid cystic duct. The cystic duct and the GB body and fundus are distended, indicating obstruction
- gallstones
- several centrally hypo-enhancing peritoneal nodules
- soft tissue nodule at the umbilicus
- indeterminate small liver lesions, likely benign cysts
Case Discussion
Appearances are those of the GB neck carcinoma with peritoneal metastases and a Sister Mary Joseph nodule. The peri-umbilical soft tissue nodule was biopsied and confirmed adenocarcinoma of HPB origin.
Case courtesy of Dr Jamie Franklin and Dr Ed Godfrey on behalf of the British Society of Gastrointestinal and Abdominal Radiology.
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