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Related Concept Videos

Gallbladder01:17

Gallbladder

1.8K
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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Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Related Experiment Video

Updated: Dec 24, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Haemocholecyst related to gallbladder malignancy.

Sukanta Ray1, Ranajoy Ghosh2, Sujan Khamrui1

  • 1Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.

Tropical Doctor
|April 16, 2020
PubMed
Summary

A rare case of gallbladder adenocarcinoma presented as a clot-filled gallbladder (haemocholecyst). Diagnosis was challenging preoperatively, requiring delayed radical surgery after initial cholecystectomy.

Keywords:
Haemocholecystabdomencomputed tomographygallbladder malignancy

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pathology

Background:

  • A haemocholecyst, a gallbladder lumen filled with blood clots, is a rare condition.
  • Preoperative diagnosis of haemocholecyst is frequently challenging, even with advanced imaging techniques.

Observation:

  • This report details a case initially presenting as a gallbladder mass, discovered during surgery to be a hugely enlarged gallbladder filled with blood clots.
  • The patient's clinical condition necessitated a simple cholecystectomy, with no signs of liver infiltration or lymphadenopathy.

Findings:

  • Histopathological examination revealed the gallbladder mass to be an adenocarcinoma infiltrating the perimuscular connective tissue.
  • A subsequent, more radical surgery was performed eight weeks after the initial procedure.

Implications:

  • This case highlights the diagnostic difficulties in identifying gallbladder adenocarcinoma presenting as haemocholecyst.
  • It underscores the importance of thorough histopathological examination for definitive diagnosis and appropriate treatment planning in such rare presentations.
  • Delayed radical surgery, when indicated by pathology, can lead to favorable outcomes in selected cases of gallbladder adenocarcinoma.