ISSN 2146-8133
 

Case Report Open Access


Gallbladder perforation presenting as a hepatic neoplasm

Sangara Narayanan, Ashwin Rammohan, Jeswanth Sathyanesan, Ravichandran Palaniappan, Manoharan Govindan.

Abstract
Perforation of the gallbladder is a rare, but potentially fatal complication of acute cholecystitis. Gallbladder perforations presenting electively as a space-occupying lesion of the liver are its rarest presentation. We report one such case, which was a diagnostic conundrum. A 50-year-old female presented with upper abdominal pain of 6 months duration. On examination, she was afebrile and had minimal tenderness in the right upper quadrant. All of her blood investigations were unremarkable, and her imaging showed features suggestive of a biliary cystadenoma. Intra-operatively, she was found to have a perforated gallbladder with intrahepatic extension. Cholecystectomy with abscess drainage was done, and her post-operative period was uneventful. Gallbladder perforations can have a myriad of presentations. We report a rare case of a perforated gallbladder mimicking a biliary cystadenoma. A high index of suspicion along with prudent decision-making can help in accurate pre-operative diagnosis, thereby avoiding intraoperative surprises and unnecessary morbidity, especially in cases where a benign pathology mimics malignancy.

Key words: Biliary cystadenoma, gallbladder perforation, radiology


 
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How to Cite this Article
Pubmed Style

Narayanan S, Rammohan A, Sathyanesan J, Palaniappan R, Govindan M. Gallbladder perforation presenting as a hepatic neoplasm. Arch Clin Exp Surg. 2016; 5(2): 113-115. doi:10.5455/aces.20131128113026


Web Style

Narayanan S, Rammohan A, Sathyanesan J, Palaniappan R, Govindan M. Gallbladder perforation presenting as a hepatic neoplasm. http://www.acesjournal.org/?mno=45987 [Access: January 19, 2018]. doi:10.5455/aces.20131128113026


AMA (American Medical Association) Style

Narayanan S, Rammohan A, Sathyanesan J, Palaniappan R, Govindan M. Gallbladder perforation presenting as a hepatic neoplasm. Arch Clin Exp Surg. 2016; 5(2): 113-115. doi:10.5455/aces.20131128113026



Vancouver/ICMJE Style

Narayanan S, Rammohan A, Sathyanesan J, Palaniappan R, Govindan M. Gallbladder perforation presenting as a hepatic neoplasm. Arch Clin Exp Surg. (2016), [cited January 19, 2018]; 5(2): 113-115. doi:10.5455/aces.20131128113026



Harvard Style

Narayanan, S., Rammohan, A., Sathyanesan, J., Palaniappan, R. & Govindan, M. (2016) Gallbladder perforation presenting as a hepatic neoplasm. Arch Clin Exp Surg, 5 (2), 113-115. doi:10.5455/aces.20131128113026



Turabian Style

Narayanan, Sangara, Ashwin Rammohan, Jeswanth Sathyanesan, Ravichandran Palaniappan, and Manoharan Govindan. 2016. Gallbladder perforation presenting as a hepatic neoplasm. Archives of Clinical and Experimental Surgery (ACES), 5 (2), 113-115. doi:10.5455/aces.20131128113026



Chicago Style

Narayanan, Sangara, Ashwin Rammohan, Jeswanth Sathyanesan, Ravichandran Palaniappan, and Manoharan Govindan. "Gallbladder perforation presenting as a hepatic neoplasm." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 113-115. doi:10.5455/aces.20131128113026



MLA (The Modern Language Association) Style

Narayanan, Sangara, Ashwin Rammohan, Jeswanth Sathyanesan, Ravichandran Palaniappan, and Manoharan Govindan. "Gallbladder perforation presenting as a hepatic neoplasm." Archives of Clinical and Experimental Surgery (ACES) 5.2 (2016), 113-115. Print. doi:10.5455/aces.20131128113026



APA (American Psychological Association) Style

Narayanan, S., Rammohan, A., Sathyanesan, J., Palaniappan, R. & Govindan, M. (2016) Gallbladder perforation presenting as a hepatic neoplasm. Archives of Clinical and Experimental Surgery (ACES), 5 (2), 113-115. doi:10.5455/aces.20131128113026





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