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[Large flank tumor after covered gallbladder perforation].

V Fernandez¹, C Töns, V Schumpelick

¹Chirurgische Universitäts- und Poliklinik, RWTH Aachen.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|March 29, 2000

Summary

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A large, infected pseudocyst resulting from gallbladder perforation presented as an 18 cm abdominal mass. Surgical resection and gallbladder removal were necessary for treatment.

Area of Science:

Gastroenterology
Abdominal Surgery
Pathology

Background:

A 79-year-old female presented with a large right flank tumor.
Medical history was unremarkable except for a known asymptomatic gallstone.
Imaging revealed an intra-abdominal mass connected to the gallbladder.

Observation:

An 18 cm tumor was noted in the right flank.
Sonography and CT scans showed a large, fluid-filled intra-abdominal mass.
The mass had a persistent connection with the gallbladder.

Findings:

Exploratory laparotomy revealed gallbladder perforation.
A large pseudocyst containing 1800 ml of infected bile was found.
The pseudocyst had penetrated through the abdominal wall.

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Implications:

This case highlights a rare complication of gallbladder disease.
Prompt surgical intervention is crucial for managing such large pseudocysts.
Histopathological examination is vital for diagnosis and understanding the extent of disease.