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Case of the Month

December 2012

Patient Data: 73 year old Male patient

Clinical Info: Weight loss, abnormal liver function tests and pain in the upper abdomen


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Abnormal gallbladder with air in the lumen


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Another image of the abnormal gallbladder with thickened wall and air filled lumen


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The gallbladder is in close relation to the duodenum


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There is also air in the biliary tree


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Air in the biliary tree


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The mass in the gallbladder is vascularized


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Another image with intraluminal flow


46518-3344767_20120407__0051.swf video


46519-3344767_20120407__0052.swf video


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46521-gallbladder_tumor1.swf video CT


46522-gallbladder_tumor2.swf video CT


46523-gallbladder_tumor3.swf video CT


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Detail of the fistula between the gallbladder and dudenum


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Detail of the fistula between the gallbladder and dudenum coronal view

It was unclear whether the patient had a duodenal carcinoma that had perforated to the gallbladder or a gallbladder carcinoma that had perforated to the duodenum. An endoscopy of the duodenum was not possible because the patient had undergone a gastrojejunostomy (Roux and Y procedure) in the past. The patient was operated in a university hospital and had a gallbladder carcinoma that had perforated to the dudenum

for more cases of gallbladder carcinoma see

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