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Lymphoid hyperplasia detected as a single mass in the gallbladder: report of a case

Satoshi Yamamoto1, Tadashi Tsukamoto, Akishige Kanazawa

  • 1Department of Hepato-Biliary-Pancreatic Surgery, Osaka City General Medical Hospital, 2-13-22 Miyakojima Hondori, Miyakojima-ku, Osaka 534-0021, Japan. satoshi.hbps@gmail.com

Surgery Today
|June 16, 2012
PubMed

Insights

This case report details rare gallbladder lymphoid hyperplasia, presenting unique imaging findings on CT and ultrasound. Diagnosis was confirmed after laparoscopic cholecystectomy, revealing normal lymphocytes and lymph follicles.

Area of Science:

  • Gastroenterology
  • Pathology
  • Radiology

Background:

  • Gallbladder masses require careful differential diagnosis.
  • Lymphoid hyperplasia is an uncommon finding in the gallbladder.

Observation:

  • A 42-year-old female presented with a gallbladder neck mass.
  • Imaging revealed atypical features, and tumor markers were normal.
  • Laparoscopic cholecystectomy was performed due to indeterminate diagnosis.

Findings:

  • Macroscopic examination showed a submural tumor with a clear border.
  • Microscopic analysis identified numerous lymph follicles with germinal centers in the subserosal layer.
  • The final diagnosis was lymphoid hyperplasia with chronic cholecystitis.

Implications:

  • This case highlights the importance of considering rare diagnoses in gallbladder pathology.
  • Unique imaging characteristics of gallbladder lymphoid hyperplasia are presented.
  • Further research may elucidate the pathogenesis and clinical significance of this rare condition.

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