Abstract
IntroductionWhile biliary cystadenoma and biliary cystadenocarcinoma involving the liver are not uncommon, biliary cystadenocarcinoma of the gall bladder is an extremely rare lesion and can be very difficult to diagnose.Case presentationA 50-year-old Indian woman presented with pain and swelling in the right hypochondrium. An ultrasonography revealed a cystic lesion arising from the gallbladder fossa. This lesion was initially managed with aspiration and antibiotics by the treating physician. The patient was referred for surgical management because the abscess was not resolved through conservative treatment. A diagnosis of an infected nonparasitic cyst was made and deroofing of the cyst was performed. A histopathological examination of the excised cyst wall showed cystadenocarcinoma. The patient subsequently underwent a successful surgical excision of the lesion.ConclusionInfective lesions of the liver are common in developing countries and are usually managed through aspiration and antibiotics. Cystadenocarcinoma of the gallbladder needs to be considered in the differential diagnosis of cystic lesions arising from the gallbladder fossa. A high index of suspicion and cytological examination from the wall of such complex lesions will help in the timely management of such lesions.
Highlights
While biliary cystadenoma and biliary cystadenocarcinoma involving the liver are not uncommon, biliary cystadenocarcinoma of the gall bladder is an extremely rare lesion and can be very difficult to diagnose.Case presentation: A 50-year-old Indian woman presented with pain and swelling in the right hypochondrium
Infective lesions of the liver are common in developing countries and are usually managed through aspiration and antibiotics
Cystadenocarcinoma of the gallbladder needs to be considered in the differential diagnosis of cystic lesions arising from the gallbladder fossa
Summary
This case is reported to emphasize that cystadenocarcinoma of the gall bladder needs to be considered in the differential diagnoses of cystic lesions arising from gall bladder fossa. 5. Shikano T, Takeda S, Sakai M, Sugimoto H, Kanazumi N, Nomoto S, Nakao A: Cystic lymphangioma of the gallbladder: report of a case. 6. Kim JK, Yoo KS, Moon JH, Park KH, Chung YW, Kim KO, Park CH, Hahn T, Park SH, Kim JH, Jeon JY, Kim MJ, Min KS, Park CK: Gallbladder lymphangioma: a case report and review of the literature. 8. Yu Q, Chen T, Wan YL, Min J, Cheng Y, Guo H: Intrahepatic biliary cystadenocarcinoma: clinical analysis of 4 cases.
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