A 7-year-old girl was diagnosed with viral enteritis and was admitted to our hospital. Sudden right upper quadrant tenderness appeared 2 days after admission. Ultrasonography revealed a large thick-walled cystic gallbladder and an inflammation-induced hyperechoic cystic duct. The long axis of the gallbladder was in a horizontal rather than a vertical alignment. Computed tomography demonstrated ...

A 42-year-old Iraqi woman with hypertension, peptic ulcer disease, and metastatic carcinoid disease presented to the emergency department (ED) with right upper quadrant pain and subjective fevers following chemoembolization for a neuroendocrine tumor of the liver diagnosed by biopsy in Iraq in 2000. The patient had undergone chemoembolization with polyvinyl alcohol particles 3 weeks prior to ar...

Figure 2. Histologic section of the gallbladder showing a granuloma with histiocytes, an eosinophil (small arrow), and a calcified ovum of a Fasciola species measuring 130 mm (large arrow) (hematoxylin-eosin stain; original magnification, 100). Figure 1. Abdominal CT showing a large, irregular, crescent-shaped, calcified density (large arrow) in the proximal duodenum and a calcification (small ...

Emphysematous cholecystitis is a rare subtype of acute characterized by the presence gas in gallbladder wall secondary to ischemia. Typically, this result cystic artery vascular compromise with concomitant infection from gas-forming organisms such as Clostridium species, Klebsiella or Escherichia coli. The mortality rate emphysematous 15% - 20% compared 1.4% uncomplicated cholecystitis. subsequ...

OBJECTIVE The objective of this study was to evaluate the safety and therapeutic efficacy of percutaneous radiofrequency (RF) ablation for the treatment of hepatocellular carcinomas (HCCs) adjacent to the gallbladder with the use of internally cooled electrodes. MATERIALS AND METHODS We retrospectively assessed 45 patients with 46 HCCs (mean size, 2.2 cm) adjacent to the gallbladder (<or=1.0 ...

Porcelain gallbladder is regarded as a risk factor of gallbladder cancer. A porcelain gallbladder with calcified regional lymph nodes was found using computed tomography (CT) and magnetic resonance imaging (MRI) in a 43-year-old man who presented with nausea, vomiting, and abdominal pain. His cholecystectomy specimen showed diffuse wall thickening and contained small gallstones. Histological ex...

Acute acalculous cholecystitis (AAC) is a severe disease seen in critically ill patients, including those with autoimmune diseases. We herein report the case of a 41-year-old female who developed macrophage activation syndrome (MAS) accompanied by a recurrence of Kikuchi disease. Abdominal imaging revealed marked thickening of the gallbladder wall and pericholecystic fluid, typically found in A...

CONTEXT Heterotopia of the pancreas can be defined as the presence of pancreatic tissue in an abnormal location without any continuity with the main body of the pancreas. Heterotopic pancreatic tissue located in the gallbladder is a rare entity. Despite being a congenital condition, it takes years for heterotopic pancreas to become symptomatic. CASE REPORT An 80-year-old male patient presente...

BACKGROUND The incidence of gallbladder carcinoma in cirrhotics is unknown. Known risk factors are primary sclerosing cholangitis and polypoid masses. CASE PRESENTATION A sixty year old with primary sclerosing cholangitis, cirrhosis, and gallbladder polyps underwent liver transplantation. A polypoid lesion measuring 1.5 x 0.5 cm was found on the fundus of the gallbladder. Histological examina...

Gallbladder stones are an extremely common disorder and are usually asymptomatic, but they may cause insidious infections. Acute cholecystitis is a bacterial infection caused by an obstruction of the cystic duct with gallstones. The obstruction results in gallbladder distention, wall edema, ischemia and bacteria infection. The wall of the gallbladder may undergo necrosis and gangrene and ultima...