The gallbladder Mixed neuroendocrine-non-neuroendocrine neoplasms (MiNEN) are extremely rare. The association of at least two components including one neuroendocrine tumor, and a non-neuroendocrine one defines MiNEN.
We are reporting a case of 50-year-old woman referred to our department for management of a gallbladder tumor suspected on imaging. She undergone a cholecystectomy enlarged to the vesicular bed according to Gleen and hepatoduodenal lymphadenectomy.
The histological examination conclude on MiNEN of the gallbladder; and the patient received adjuvant chemotherapy and she shows no sign of recurrence at 6 months.
La torsion d'annexes survient classiquement sur ovaires kystiques ou tumoraux. De rares cas de torsion ont été rapports dans la littérature après hystérectomie laparoscopique. Nous rapportons la première observation de torsion d'annexe survenant sur annexe normale après hystérectomie abdominale et décrivons les particularités de cette forme clinique.
Choledochal cyst is defined as a cystic dilatation of the distal common bile duct protruding into the duo- denum. It is considered as the rarest congenital cyst of the biliary tract by 1.4%. We report a 46 years old woman who presented with recurrent jaundice associated with abdominal pain of 07 years duration. The liver function tests showed cholestasis. The abdominal scan and Biliary MRI revealed a dilatation of intrahepatic, pancreatic ducts and a dilatation of the common bile duct with a stenosis in its the lower part. The diagnosis of a common bile duct cholangiocarinoma was mentioned. The gastroscopy revealed a stenosed duodenal bulb not allowing us to perform an echo endoscopy and ERCP. An intraoperative cholangiography illustrating a cystic dilatation of the papillary region in which exist a separate protrusion of the choledochal and wirsung ducts. Therefore, we didn’t accomplishthe cephalic duodeno-pancreatectomy and we decided to realize a partial resection of the papilla. The histolological examination proved the absence of any tumoral lesion and the presence of biliary mucosa layered the internal surface of the cyst. The patient is still asymptomatic after one year of the surgery.
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