First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding

Abstract Background Gallbladder hemangioma is an exceptionally rare entity, with only ten cases reported in literature hitherto. The here described case is the first report of a gallbladder hemangioma coexisting with gallstones. Case presentation A 76-year-old male was hospitalized following repeate...

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Main Authors: Giulia Trucco, Luigi Chiusa, Francesco Tandoi, Luca Bertero
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-022-01554-7
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author Giulia Trucco
Luigi Chiusa
Francesco Tandoi
Luca Bertero
author_facet Giulia Trucco
Luigi Chiusa
Francesco Tandoi
Luca Bertero
author_sort Giulia Trucco
collection DOAJ
description Abstract Background Gallbladder hemangioma is an exceptionally rare entity, with only ten cases reported in literature hitherto. The here described case is the first report of a gallbladder hemangioma coexisting with gallstones. Case presentation A 76-year-old male was hospitalized following repeated episodes of epigastric pain. Patient’s medical history included primary hypertension, type 2 diabetes mellitus, dyslipidemia, obesity and hyperuricemia. Physical examination revealed marked pain in the right hypochondriac region, and laboratory workup was notable for mildly elevated glycemia (125 mg/dL) and pancreatic amylase (60 IU/L). Abdominal ultrasound showed multiple gallstones, a thickened gallbladder wall and mild edema of the perivisceral adipose tissue as well as a hepatic angioma. During surgery, an incidental subserosal nodule of about 1 cm was detected within the gallbladder fundus. After surgery, the clinical course was uneventful and the patient was discharged. Histopathological examination of the subserosal nodule showed multiple dilated vascular channels within a sclerosing matrix, a finding consistent with a cavernous hemangioma. Diffuse chronic cholecystitis was also present. Conclusions Gallbladder hemangiomas represent a rare, likely underdiagnosed condition which can be undetected during the preoperative workup.
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spelling doaj.art-0ae54df1f09a44619297513fe3b238982022-12-22T03:03:03ZengBMCBMC Surgery1471-24822022-04-012211710.1186/s12893-022-01554-7First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare findingGiulia Trucco0Luigi Chiusa1Francesco Tandoi2Luca Bertero3Pathology Unit, Department of Medical Sciences, University of TurinPathology Unit, Department of Medical Sciences, University of TurinGeneral Surgery 2U, Department of Surgical Sciences, AOU Città Della Salute e Della Scienza di TorinoPathology Unit, Department of Medical Sciences, University of TurinAbstract Background Gallbladder hemangioma is an exceptionally rare entity, with only ten cases reported in literature hitherto. The here described case is the first report of a gallbladder hemangioma coexisting with gallstones. Case presentation A 76-year-old male was hospitalized following repeated episodes of epigastric pain. Patient’s medical history included primary hypertension, type 2 diabetes mellitus, dyslipidemia, obesity and hyperuricemia. Physical examination revealed marked pain in the right hypochondriac region, and laboratory workup was notable for mildly elevated glycemia (125 mg/dL) and pancreatic amylase (60 IU/L). Abdominal ultrasound showed multiple gallstones, a thickened gallbladder wall and mild edema of the perivisceral adipose tissue as well as a hepatic angioma. During surgery, an incidental subserosal nodule of about 1 cm was detected within the gallbladder fundus. After surgery, the clinical course was uneventful and the patient was discharged. Histopathological examination of the subserosal nodule showed multiple dilated vascular channels within a sclerosing matrix, a finding consistent with a cavernous hemangioma. Diffuse chronic cholecystitis was also present. Conclusions Gallbladder hemangiomas represent a rare, likely underdiagnosed condition which can be undetected during the preoperative workup.https://doi.org/10.1186/s12893-022-01554-7GallbladderHemangiomaGallstones
spellingShingle Giulia Trucco
Luigi Chiusa
Francesco Tandoi
Luca Bertero
First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding
BMC Surgery
Gallbladder
Hemangioma
Gallstones
title First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding
title_full First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding
title_fullStr First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding
title_full_unstemmed First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding
title_short First report of a gallbladder hemangioma coexisting with gallstones: a case report and literature review of a rare finding
title_sort first report of a gallbladder hemangioma coexisting with gallstones a case report and literature review of a rare finding
topic Gallbladder
Hemangioma
Gallstones
url https://doi.org/10.1186/s12893-022-01554-7
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