Case report: Extra-hepatic biliary cystadenoma in association with adenomyomatosis of the gall-bladder

Abstract Background Gall bladder cancer (GBC) is the fifth most common malignancy in the gastrointestinal system and the most common malignancy of the biliary system. GBC is a very aggressive malignancy having a 5 year survival rate of 19%. Giant Gall Bladder (GGB) is an uncommon condition that can result from cholelithiasis or chronic cholecystitis and rarely with malignancy. Case report A 65 year old lady presented with vague abdominal pain for 12 years and right abdominal lump of size 20 × 8 cms was found on examination. CT scan showed a circumferentially irregularly thickened wall (2.5 cm) of gall bladder indicative of malignancy. Per-operatively a GB of size 24 × 9 cm was noted and patient underwent radical cholecystectomy. It was surprise to find such a giant malignant GB with preserved planes. Histopathology, it was well differentiated adenocarcinoma of gall bladder of Stage II (T2a N0 M0). Discussion It is known that mucocoele of GB can attain large size, however chronic cholecystitis will lead to a shrunken gall bladder rather than an enlarged one. A malignant GB of such size and resectable is rare without any lymph node involvement or liver infiltration. Few cases of giant benign gall bladder have been reported in literature, however this appears to be the largest resectable gall bladder carcinoma reported till date as per indexed literature. Conclusion Giant GB is an uncommon finding. They are mostly benign, however malignant cases can occur. Radiological findings may suggest features of malignancy and define extent of disease. Prognosis depends on stage of disease and resectability, irrespective of size.

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A RARE CASE OF MUCINOUS CYSTADENOCARCINOMA OF LIVER PRESENTING AS HYDATID CYST

10.36106/gjra/1002836 ◽

2021 ◽

pp. 12-13

Author(s):

Moka .Rajesh ◽

Shaik Nazia ◽

Angani. Sri Radha Krishna Varma

Keyword(s):

Case Report ◽

Preoperative Imaging ◽

Cystic Tumor ◽

Main Concern ◽

Biliary Cystadenoma ◽

Present Case Report ◽

Pain Abdomen ◽

Polycystic Disease ◽

Hepatobiliary Cystadenocarcinoma ◽

Upper Abdomen

Hepatobiliary cystadenocarcinoma is a very rare cystic tumor that arises in the liver or, less frequently, in the extrahepatic biliary system mostly seen in elderly patients. It has been shown to arise in congenital liver cysts, bile ducts, biliary cystadenoma, in the context of bro- polycystic disease and in the hepatoduodenal ligament. In the present case report, we describe a case of rare entity of hepatobiliary cystadenocarcinoma presented in a 36 year old male patient presented to opd with complaints of pain abdomen in right side of upper abdomen since 2 months. Main concern of this case report is preoperative imaging is imprecise and frequently misdiagnosed as benign cystic lesions and delays in treatment.

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Ectopic gall bladder An interesting case report

Bangladesh Journal of Nuclear Medicine ◽

10.3329/bjnm.v17i2.28204 ◽

2016 ◽

Vol 17 (2) ◽

pp. 156-158

Author(s):

Sharmin Reza ◽

Faria Nasreen ◽

Sharmin Quddus ◽

Tapati Mandal ◽

Ferdous Ara Hussain

Keyword(s):

Case Report ◽

Gall Bladder ◽

Interesting Case ◽

The Other ◽

Rare Entity ◽

Diagnostic Dilemma ◽

Hida Scan ◽

Other Hand ◽

Hepatobiliary Scan

Ectopic gall bladder is a rare entity. It can often be misdiagnosed causing diagnostic dilemma leading to various complications. Ultrasonography is the most common investigation for evaluating gall bladder pathologies. However, the confirmation of ectopic gallbladder is not easily possible by this method. On the other hand, hepatobiliary scan (HIDA scan) plays an important role in evaluating the presence and position of ectopic gallbladder. Here we present a case of sonographically suspected ectopic gallbladder confirmed by hepatobiliary scan highlighting the importance of HIDA scan in ectopic gallbladder.Bangladesh J. Nuclear Med. 17(2): 156-158, July 2014

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Acute Lantana camara poisoning in a Boer goat kid : case report

Journal of the South African Veterinary Association ◽

10.4102/jsava.v69i1.807 ◽

1998 ◽

Vol 69 (1) ◽

Cited By ~ 6

Author(s):

A. Ide ◽

C.L.C. Tutt

Keyword(s):

Case Report ◽

Gall Bladder ◽

Single Cell ◽

Liver Damage ◽

Skin Lesions ◽

Lantana Camara ◽

Cell Necrosis ◽

Bile Stasis ◽

Boer Goat ◽

Boer Goats

Acute Lantana camara poisoning in a Boer goat kid is described. The animal was part of a flock of boer goats that was introduced from the Kalahari thornveld, where the plant does not occur, to an area where the plant grew abundantly. At necropsy, the animal was severely icteric, dehydrated and constipated, with hepatosis, distention of the gall-bladder and nephrosis, but no skin lesions. Histopathological findings of the liver confirmed moderate hepatosis with single-cell necrosis and bile stasis. The pathology is consistent with that described in acute Lantana poisoning in cattle, sheep and goats. The absence of photosensitisation may be attributed to relatively mild liver damage, or the rapid course of this toxicosis.

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