Related Experiment Videos
Haemobilia due to a large gall bladder polyp
Manoranjan Kar1, U Bhattacharyya, R N Laha
1Department of Surgery, Calcutta National Medical College and Hospital, Kolkata 700014.
Journal of the Indian Medical Association
|June 1, 2004
Summary
A gall bladder adenomatous polyp with early carcinoma caused recurrent bleeding in a 61-year-old male. Surgical removal led to an uneventful recovery, highlighting early detection of gall bladder cancer.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Gall bladder masses can present with gastrointestinal bleeding and jaundice.
- Early diagnosis and surgical intervention are crucial for managing gall bladder neoplasms.
Observation:
- A 61-year-old male presented with severe haematemesis and melaena, anemia, jaundice, and an abdominal mass.
- Oesophagogastroduodenoscopy (OGD) was inconclusive, but ultrasonography revealed a heterogeneous gall bladder mass and biliary dilatation.
- Laparotomy confirmed an intraluminal gall bladder mass without metastasis, necessitating cholecystectomy.
Findings:
- Histopathological examination revealed an adenomatous polyp with foci of carcinoma in situ within the gall bladder.
- The mass measured 5.5 cm x 4 cm, attached by a stalk, with a hemorrhagic spot.
- Choledochotomy identified blood clots, and a choledochoduodenostomy was performed.
Implications:
- This case underscores the importance of comprehensive imaging and surgical exploration for unexplained gastrointestinal bleeding.
- Prompt surgical management of gall bladder polyps with suspected malignancy can lead to favorable outcomes.
- Early-stage gall bladder carcinoma, even when presenting with significant symptoms, may be curable with timely intervention.