Gallbladder carcinoma

Case contributed by Dr Ian Bickle

Presentation

Right upper quadrant discomfort. No prior surgery. Cholecystitis?

Patient Data

Age: 75 years
Gender: Male
CT

6 cm ill defined heterogeneous mass centered on the gallbladder fossa.

The gallbladder is not separately identified.

Prominence of the common hepatic duct.  No intrahepatic duct dilatation.

No lymphadenopathy at the porta hepatitis.

1 cm peritoneal nodule anteriorly in the midline.

Simple renal cysts.

Large left inguinal hernia.

Case Discussion

This patient had no prior history of hepatobiliary surgery.

On the CT, the gallbladder is not separately identified with the mass centered on the gallbladder fossa making gallbladder carcinoma a strong possibility.

Ultrasound guided biopsy was undertaken - the diagnosis was gallbladder adenocarcinoma.

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Case information

rID: 55236
Published: 27th Aug 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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