Gallbladder perforation presenting as a hepatic neoplasm
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 pr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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GESDAV
2016-06-01
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| Series: | Archives of Clinical and Experimental Surgery |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=45987 |
| _version_ | 1828019783712374784 |
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| author | Sangara Narayanan Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan Manoharan Govindan |
| author_facet | Sangara Narayanan Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan Manoharan Govindan |
| author_sort | Sangara Narayanan |
| collection | DOAJ |
| description | 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] |
| first_indexed | 2024-04-10T11:26:05Z |
| format | Article |
| id | doaj.art-f28fe02550fd407a8f5b5c0d25127462 |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T11:26:05Z |
| publishDate | 2016-06-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-f28fe02550fd407a8f5b5c0d251274622023-02-15T16:18:25ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332016-06-015211311510.5455/aces.2013112811302645987Gallbladder perforation presenting as a hepatic neoplasmSangara Narayanan0Ashwin Rammohan1Jeswanth Sathyanesan2Ravichandran Palaniappan3Manoharan Govindan4Stanley Medical College Hospital Stanley Medical College Hospital Stanley Medical College Hospital Stanley Medical College Hospital Stanley Medical College HospitalPerforation 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]http://www.scopemed.org/fulltextpdf.php?mno=45987Biliary cystadenomagallbladder perforationradiology |
| spellingShingle | Sangara Narayanan Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan Manoharan Govindan Gallbladder perforation presenting as a hepatic neoplasm Archives of Clinical and Experimental Surgery Biliary cystadenoma gallbladder perforation radiology |
| title | Gallbladder perforation presenting as a hepatic neoplasm |
| title_full | Gallbladder perforation presenting as a hepatic neoplasm |
| title_fullStr | Gallbladder perforation presenting as a hepatic neoplasm |
| title_full_unstemmed | Gallbladder perforation presenting as a hepatic neoplasm |
| title_short | Gallbladder perforation presenting as a hepatic neoplasm |
| title_sort | gallbladder perforation presenting as a hepatic neoplasm |
| topic | Biliary cystadenoma gallbladder perforation radiology |
| url | http://www.scopemed.org/fulltextpdf.php?mno=45987 |
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