CASE 144: ABNORMAL GALL BLADDER, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 36 yo, recurrent epigatric pain. Abdomen ultrasound detected the abnormal gall bladder which was  big and changing the shape,  look like a bottle with two parts, one contained bile and the fundus was solid and very small lumen. With CDI the fundus of gallbladder was full of many Doppler artefacts due to cholesterol crystal ( image 1 and 2 viewing with the probe 3,5 MHz,  image 3, probe 12 MHz).

 

 

 

 

MSCT ABDOMEN WITH CE ALSO SUSPECTED OF ADENOMYOMATOSIS OR GALL BALDDER TUMOR.

 

 

THIS CASE HAD BEEN UNDERGOING  ENDOSCOPY OPERATION FOR REMOVING  GALL BLADDER. MACROSCOPIC SPECIMEN  LOOKS LIKE HOURGLASS SHAPE, WITH  VERY THICKENED WALL OF THE GALL BLADDER FUNDUS.

 

 

MICROSCOPIC REPORT IS ADENOMYOMATOSIS of GALLBLADDER

 

REFERENCE : AJR:189, July 2007.