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Saturday 12 October 2013

CASE 213: BILOBED GALLBLADDER, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman 29 yo,  recurrent pain at subhepatic area.
Ultrasound detected stone in gallblader with thickening wall and one cystic mass with size of 2 cm  nearby. Sonologist reported that was CBD cyst and chronic cholecystitis due to stone [3 images].





MSCT  also had same report as ultrasound report (see  image CT).




Surgeon ordered  MRCP. The MRI report was different which thought about  bilobar gallbladder that had 2 parts: one part had stone and  thickening of the wall, and another part was connected to the neck of gall bladder which had  normal wall and normal CBD.




Endoscopic surgery for removing gall bladder with stone in its fundus.
Macroscopic specimen of this gallbladder was correlated with 3 modalities of  imaging: ultrasound, CT and MRI.



 
 REFERENCE
 


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