Gallbladder perforation presenting as a hepatic neoplasm
| Autor: | Manoharan Govindan, Ashwin Rammohan, Ravichandran Palaniappan, Sangara Narayanan, Jeswanth Sathyanesan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Gallbladder General surgery Perforation (oil well) Biliary cystadenoma lcsh:Surgery Energy Engineering and Power Technology lcsh:RD1-811 medicine.disease Malignancy Gallbladder perforation radiology Fuel Technology medicine.anatomical_structure medicine Cholecystectomy Radiology Presentation (obstetrics) Abscess Complication business gallbladder perforation |
| Zdroj: | Archives of Clinical and Experimental Surgery, Vol 5, Iss 2, Pp 113-115 (2016) |
| ISSN: | 2146-8133 |
| Popis: | Perforation of the gallbladder is a rare, but potentially fatal complication of acute cholecystitis. Gallbladder perforations presenting electively as a space-occupying lesion of the liver are its rarest presentation. We report one such case, which was a diagnostic conundrum. A 50-year-old female presented with upper abdominal pain of 6 months duration. On examination, she was afebrile and had minimal tenderness in the right upper quadrant. All of her blood investigations were unremarkable, and her imaging showed features suggestive of a biliary cystadenoma. Intra-operatively, she was found to have a perforated gallbladder with intrahepatic extension. Cholecystectomy with abscess drainage was done, and her post-operative period was uneventful. Gallbladder perforations can have a myriad of presentations. We report a rare case of a perforated gallbladder mimicking a biliary cystadenoma. A high index of suspicion along with prudent decision-making can help in accurate pre-operative diagnosis, thereby avoiding intraoperative surprises and unnecessary morbidity, especially in cases where a benign pathology mimics malignancy. [Arch Clin Exp Surg 2016; 5(2.000): 113-115] |
| Databáze: | OpenAIRE |
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