Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report
Primary Gall Bladder (GB) carcinoma ranks globally as the sixth most common malignancy of gastrointestinal cancers and most common malignancy of biliary tract. Intracystic Papillary Neoplasm of GB (ICPN) is a subtype carcinoma of Intraductal Papillary Carcinoma of Bile duct (IPCB) and grows submuc...
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JCDR Research and Publications Private Limited
2021-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| author | Patel Ruchik Anilbhai Shakthepriya Kannan Narayanan Kalaivani Amitkumar SENTHIL KUMAR AIYAPPAN |
| author_facet | Patel Ruchik Anilbhai Shakthepriya Kannan Narayanan Kalaivani Amitkumar SENTHIL KUMAR AIYAPPAN |
| author_sort | Patel Ruchik Anilbhai |
| collection | DOAJ |
| description | Primary Gall Bladder (GB) carcinoma ranks globally as the sixth most common malignancy of gastrointestinal cancers and most
common malignancy of biliary tract. Intracystic Papillary Neoplasm of GB (ICPN) is a subtype carcinoma of Intraductal Papillary
Carcinoma of Bile duct (IPCB) and grows submucosally. Here the authors report a rare case of 58-years-old male patient, who came
with the complaints of acute sharp pain in right upper quadrant and intermittent bilious vomiting. On examination, patient had right
upper quadrant tenderness. He was diagnosed with moderately differentiated invasive ICPN of GB presenting as acute abdomen
with right hypochondrial pain mimicking acute cholecystitis. On imaging, there was presence of gallbladder wall thickening with
pericholecystic fluid collection suggestive of GB perforation. The patient also had incidental finding of congenital non rotation of
gut. Intraoperatively, there was polypoidal lesion in GB with perforation of GB. Histopathology was reported as invasive ICPN and
to the best of our knowledge, invasive ICPN presenting as acute abdomen with GB perforation is not reported in the literature. |
| first_indexed | 2024-12-17T23:45:37Z |
| format | Article |
| id | doaj.art-a55ffdb582fb41aab3bdfb537c781b93 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-17T23:45:37Z |
| publishDate | 2021-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-a55ffdb582fb41aab3bdfb537c781b932022-12-21T21:28:20ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-11-011511TD01TD0310.7860/JCDR/2021/51004.15651Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case ReportPatel Ruchik Anilbhai0Shakthepriya Kannan Narayanan1Kalaivani Amitkumar2SENTHIL KUMAR AIYAPPAN3Junior Resident, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattankulathur, Chengalpattu, Tamil Nadu, India.Junior Resident, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattankulathur, Chengalpattu, Tamil Nadu, India.Professor, Department of Pathology, SRM Medical College Hospital and Research Centre, Kattankulathur, Chengalpattu, Tamil Nadu, India.Professor and Head, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattankulathur, Chengalpattu, Tamil Nadu, India.Primary Gall Bladder (GB) carcinoma ranks globally as the sixth most common malignancy of gastrointestinal cancers and most common malignancy of biliary tract. Intracystic Papillary Neoplasm of GB (ICPN) is a subtype carcinoma of Intraductal Papillary Carcinoma of Bile duct (IPCB) and grows submucosally. Here the authors report a rare case of 58-years-old male patient, who came with the complaints of acute sharp pain in right upper quadrant and intermittent bilious vomiting. On examination, patient had right upper quadrant tenderness. He was diagnosed with moderately differentiated invasive ICPN of GB presenting as acute abdomen with right hypochondrial pain mimicking acute cholecystitis. On imaging, there was presence of gallbladder wall thickening with pericholecystic fluid collection suggestive of GB perforation. The patient also had incidental finding of congenital non rotation of gut. Intraoperatively, there was polypoidal lesion in GB with perforation of GB. Histopathology was reported as invasive ICPN and to the best of our knowledge, invasive ICPN presenting as acute abdomen with GB perforation is not reported in the literature.https://jcdr.net/articles/PDF/15651/51004_CE[Ra1]_F_(SHU)_GC(AnK)_PF1(AKA_SS)_PN(KM).pdfcholecystitiscomputed tomographyhistopathology |
| spellingShingle | Patel Ruchik Anilbhai Shakthepriya Kannan Narayanan Kalaivani Amitkumar SENTHIL KUMAR AIYAPPAN Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report Journal of Clinical and Diagnostic Research cholecystitis computed tomography histopathology |
| title | Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report |
| title_full | Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report |
| title_fullStr | Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report |
| title_full_unstemmed | Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report |
| title_short | Invasive Intracholecystic Papillary Neoplasm of Gall Bladder with Perforation: A Case Report |
| title_sort | invasive intracholecystic papillary neoplasm of gall bladder with perforation a case report |
| topic | cholecystitis computed tomography histopathology |
| url | https://jcdr.net/articles/PDF/15651/51004_CE[Ra1]_F_(SHU)_GC(AnK)_PF1(AKA_SS)_PN(KM).pdf |
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