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Hepatic haemangioma masquerading as the gallbladder in a case of gallbladder agenesis: a case report and literature review.

Stephenson JA, Norwood M, Al-Leswas D, Al-Taan O, Beable R, Lloyd DM, Dennison AR - HPB Surg (2010)

Bottom Line: In contrast, liver haemangiomas are the most common type of benign liver lesions.Subsequent operative findings revealed a solitary haemangioma of the liver sited in the normal position of the gallbladder fossa but with absence of the gallbladder.The clinical presentation, investigations, and operative findings are discussed with a review of other relevant reported cases in the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Hepatobiliary and Pancreatic Surgery, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK. jastephenson@doctors.org.uk

ABSTRACT
Gallbladder agenesis is uncommon. In contrast, liver haemangiomas are the most common type of benign liver lesions. We describe the first documented case of gallbladder agenesis where the clinical presentation was consistent with biliary colic, and radiological investigation suggested the presence of gallstones. Subsequent operative findings revealed a solitary haemangioma of the liver sited in the normal position of the gallbladder fossa but with absence of the gallbladder. It is important that clinicians should keep gallbladder agenesis in mind when the gallbladder appears abnormal on preoperative imaging studies and cannot be found at laparoscopy. As symptoms will improve in 98% of cases, it is very important to avoid unnecessary intervention in patients who have a negative laparoscopy. The clinical presentation, investigations, and operative findings are discussed with a review of other relevant reported cases in the literature.

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Related in: MedlinePlus

Laparoscopic image demonstrating the Hepatic Haemangioma in the gallbladder fossa.
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Related In: Results  -  Collection


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fig2: Laparoscopic image demonstrating the Hepatic Haemangioma in the gallbladder fossa.

Mentions: At laparoscopy, the gallbladder and cystic duct could not be identified, either by direct vision or by the use of the intraoperative ultrasound probe. A pear-shaped haemangioma was present on the surface of segment 6 of the liver within the gallbladder fossa mimicking the gallbladder (Figure 2). No further procedure was undertaken. Further imaging was requested postoperatively to locate a potential ectopic gallbladder.


Hepatic haemangioma masquerading as the gallbladder in a case of gallbladder agenesis: a case report and literature review.

Stephenson JA, Norwood M, Al-Leswas D, Al-Taan O, Beable R, Lloyd DM, Dennison AR - HPB Surg (2010)

Laparoscopic image demonstrating the Hepatic Haemangioma in the gallbladder fossa.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2913526&req=5

fig2: Laparoscopic image demonstrating the Hepatic Haemangioma in the gallbladder fossa.
Mentions: At laparoscopy, the gallbladder and cystic duct could not be identified, either by direct vision or by the use of the intraoperative ultrasound probe. A pear-shaped haemangioma was present on the surface of segment 6 of the liver within the gallbladder fossa mimicking the gallbladder (Figure 2). No further procedure was undertaken. Further imaging was requested postoperatively to locate a potential ectopic gallbladder.

Bottom Line: In contrast, liver haemangiomas are the most common type of benign liver lesions.Subsequent operative findings revealed a solitary haemangioma of the liver sited in the normal position of the gallbladder fossa but with absence of the gallbladder.The clinical presentation, investigations, and operative findings are discussed with a review of other relevant reported cases in the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Hepatobiliary and Pancreatic Surgery, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK. jastephenson@doctors.org.uk

ABSTRACT
Gallbladder agenesis is uncommon. In contrast, liver haemangiomas are the most common type of benign liver lesions. We describe the first documented case of gallbladder agenesis where the clinical presentation was consistent with biliary colic, and radiological investigation suggested the presence of gallstones. Subsequent operative findings revealed a solitary haemangioma of the liver sited in the normal position of the gallbladder fossa but with absence of the gallbladder. It is important that clinicians should keep gallbladder agenesis in mind when the gallbladder appears abnormal on preoperative imaging studies and cannot be found at laparoscopy. As symptoms will improve in 98% of cases, it is very important to avoid unnecessary intervention in patients who have a negative laparoscopy. The clinical presentation, investigations, and operative findings are discussed with a review of other relevant reported cases in the literature.

Show MeSH
Related in: MedlinePlus