GB carcinoma with peridcutal infiltration, portal thrombosis, hepatic and nodal metastasis

Case contributed by Avni K P Skandhan
Diagnosis almost certain

Presentation

Patient complains of upper abdominal discomfort since months and sever pain of 1 week duration

Patient Data

Age: 50 years
Gender: Female

GB wall is irregularly thickened and enhancing. Enhancing walls of GB neck and proximal CBD and CHD. Multiple hepatic lesions noted. Right portal vein thrombosis present.
Subhepatic, parahepatic flexure and colonic fat stranding noted.
Multiple peripancreatic and periportal lymph nodes present.

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