Gallbladder neck carcinoma with peritoneal disease and Sister Mary Joseph nodule

Presentation

Abdominal pain and swelling.

Patient Data

Age: 75 years
Gender: Female
  • 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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Case information

rID: 51432
Published: 17th Feb 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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