Korean J Gastroenterol.  2020 Jan;75(1):56-59. 10.4166/kjg.2020.75.1.56.

Liver Abscess Arising from Gallbladder Perforation with Gallbladder Cancer

• Jang Y
• Lee SH
• Hwang JA
• Ahn H

• KMID: 2471141
• DOI: http://doi.org/10.4166/kjg.2020.75.1.56

Abstract

No abstract available.

MeSH Terms

Gallbladder Neoplasms*
Gallbladder*
Liver Abscess*
Liver*

Figure

• 

  Fig. 1 Initial abdomen pelvic computed tomography. (A) About a 9.3 cm irregular rim enhancing lesion (arrows) was seen in segment 4 of the liver. A small pericholecystic abscess (black arrow) was also noted and the lumen of the gallbladder (asterisk) was mildly shrunken. (B) Irregular enhancing wall thickening (arrowheads) was observed in the gallbladder. Follow-up computed tomography. (C) The size of liver abscess (arrow) was markedly decreased with percutaneous drainage. (D) Enhancing wall thickening (arrowheads) persisted in the gallbladder.

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  Fig. 2 Gallbladder magnetic resonance imaging. (A) Wall thickening (arrowheads) with annular narrowing was seen in the body on the T2-weighted image. (B) Contrast-enhanced wall thickening (arrowheads) on the portal phase. Hyper-intensity (arrowheads) on the diffusion-weighted imaging (C) and hypo-intensity (arrowheads) on the apparent diffusion coefficient map (D) were considered to be a malignant wall thickening.

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  Fig. 3 Pathologic findings of the gallbladder. (A) Gross findings of the gallbladder. (B) Microscopic finding shows adenocarcinoma of the gallbladder invading through the wall into the adjacent soft tissue (H&E, ×12.5).

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