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Related Concept Videos

Gallbladder01:17

Gallbladder

3.2K
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
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Cholecystitis01:20

Cholecystitis

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Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
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Updated: Apr 27, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Giant biliary cystadenoma.

Mw Morris1, Cd Anderson1, Lc Drake1

  • 1University of Mississippi School of Medicine, Jackson, USA.

Journal of Surgical Case Reports
|June 25, 2014
PubMed
Summary
This summary is machine-generated.

Biliary cystadenoma (BCA) is a rare liver tumor. This case highlights a massive intrahepatic BCA, initially misdiagnosed as malignancy, successfully treated with surgical resection.

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Area of Science:

  • Hepatobiliary surgery
  • Gastroenterology
  • Surgical oncology

Background:

  • Biliary cystadenoma (BCA) is a rare cystic neoplasm arising from biliary epithelium.
  • Intrahepatic BCAs are more prevalent, predominantly affect females, and are often asymptomatic.
  • Preoperative imaging aids in distinguishing BCAs from other cystic liver lesions, but surgical resection is definitive.

Purpose of the Study:

  • To report a case of massive intrahepatic biliary cystadenoma.
  • To discuss diagnostic challenges and surgical management of this rare entity.

Main Methods:

  • Case presentation of a female patient with a massive intrahepatic BCA.
  • Initial diagnosis of nonresectable malignancy based on clinical presentation and imaging.
  • Surgical management involving enucleation and non-anatomic resection.

Main Results:

  • The patient presented with abdominal pain and distension due to a massive intrahepatic BCA.
  • The tumor was initially suspected to be a nonresectable malignancy.
  • Successful surgical management was achieved through enucleation and non-anatomic resection.

Conclusions:

  • Massive intrahepatic BCAs can mimic unresectable malignancies.
  • Prompt surgical intervention, even with non-anatomic resection, can be curative for intrahepatic BCAs.
  • Accurate preoperative diagnosis remains crucial for optimal patient outcomes in managing cystic liver lesions.