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Tuesday, 30 October 2012

CASE 148: GALLBLADDER CANCER POST TRAUMA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


WOMAN 59 YO PAIN IN RIGHT COSTAL AREA ARTER TRAUMA.

ULTRASOUND ABDOMEN DETECTED ABNORMAL GALL BLADDER, BIGGER THAN NORMAL, AND NO BILE FLUID INSIDE.






( Fig 01 GB in  BLACK AND WHITE, Fig 02 in CDI, Fig 03 in DOPPLER SW, Fig 04 CROSS- SECTIONAL GB).

CDI SHOWED THE LUMEN OF GALLBLADDER MORE HYPERVACULAR LOOK LIKE
A-V MALFORMATION.

 





MSCT with CE,  hypervascular gallbladder is supplied by cystic artery, and the central portion of gallbladder is very high enhancement.
 

The GB returned vein is drained to hepatic vein.


Radiologist proposes a hemangioma for her gallbladder.
 
Gallbladder being removed, and microscopy says it cancer.
 


 
Discussion: Why the gallbladder cancer enhances like that (more central than peripheral part)?. 


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