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Clinics in diagnostic imaging (137)

K M Chew1, S W Mak, W C Peh

  • 1Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 100 Yishun Central, Singapore. ckianming@hotmail.com

Singapore Medical Journal
|January 19, 2012
PubMed

Insights

A gallbladder adenocarcinoma case highlights key imaging findings. This rare cancer required extensive surgery, including gallbladder resection and Whipple procedure, with successful recovery.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Diagnostic Imaging

Background:

  • Gallbladder carcinoma is a rare malignancy with often delayed diagnosis.
  • Early detection is crucial for improving patient outcomes.
  • Imaging plays a vital role in diagnosing and staging gallbladder cancer.

Observation:

  • A 45-year-old woman presented with jaundice, dark urine, and pale stools.
  • Imaging revealed a mass replacing the gallbladder, invading the liver and common bile duct, with intrahepatic duct dilation and a proximal common bile duct stricture.

Findings:

  • Histopathology confirmed diffusely infiltrating adenocarcinoma of the gallbladder.
  • The patient underwent extensive surgical resection, including gallbladder resection, right hemihepatectomy, Whipple procedure, and portal vein resection with reconstruction.

Implications:

  • This case underscores the importance of recognizing the imaging features of advanced gallbladder carcinoma.
  • Multidisciplinary surgical management is essential for resectable cases.
  • Prompt diagnosis and treatment can lead to satisfactory postoperative recovery even in advanced stages.

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