Gallbladder polyp

Case contributed by Kathleen Ramirez-Tucas
Diagnosis certain

Presentation

Incidental finding on CT. Originally the study was targeted to vascular disease (endovascular aortic aneurysm repair infection).

Patient Data

Age: 75 years
Gender: Male
ct

2 cm well-defined rounded image located in the fundus portion of the gallbladder, in the venous phase there is a partial enhancement at the periphery.

Partial pancreatectomy.

Abdominal

ultrasound

Abdominal US reveals a 2 cm mass located in the fundus, homogeneous, well-demarcated, non-mobile and avascular, suggestive of a polyp.

Biliary

mri

Axial and sagittal projection in T2 reveals a well-marginated lesion inside the gallbladder, of villus morphology, approximately 18 x 17 mm in size.

No evidence of wall thickening or stones in the gallbladder.

Partial pancreatectomy changes.

No other findings.

Case Discussion

Cholecystectomy was performed. The histopathology study revealed an adenomyomatosis with low-grade dysplasia without evidence of malignancy.

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