Giant Gallbladder: Adenocarcinoma Complicated With Empyema

Hsu, Kuo-Feng; Yeh, Chin-Lung; Shih, Ming-Lang; Hsieh, Chung-Bao; Hsu, Huan-Ming

doi:10.1097/ta.0b013e31818c29fd

Cited by 9 publications

(8 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, approximately 500cc were drained from our patient’s gallbladder, but its overall size and associated mass effect warranted classification as “giant”. Other reports have documented dimensional parameters for determination of giant gallbladder incidence [ [8] , [9] , [10] , [11] , [12] , [13] ]. Ranges from 18 cm × 4 cm as reported by Maeda et al to as high as 43 × 21 × 20 cm as reported Panero et al have been alluded to as qualifying size in the past [ 9 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Huge gangrenous gallbladder presenting as gastro-esophageal reflux disease successfully treated by laparoscopic cholecystectomy: Case report and literature review

Elkbuli

Meneses

Kinslow

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Highlights “Giant” gallbladder development in the context of acute on chronic cholecystitis is extremely rare and may present with atypical symptoms secondary to mass effect. Current grading systems for acute cholecystitis severity do not include assessment based on size making them insufficient in predicting “giant” gallbladder surgical prognosis. Laparoscopic cholecystectomy was performed successfully despite the large gallbladder size without intraoperative/postoperative complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Huge gangrenous gallbladder presenting as gastro-esophageal reflux disease successfully treated by laparoscopic cholecystectomy: Case report and literature review

Elkbuli

Meneses

Kinslow

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Large gallbladders are commonly present in biliary diseases, but reports of giant gallbladder are rare (1)(2)(3)(4). Previous studies have revealed that a giant gallbladder was always accompanied with a tumor or gallstones.…”

Section: Introductionmentioning

confidence: 99%

A case of congenital giant gallbladder with massive hydrops mimicking celiac cyst

et al. 2012

View full text Add to dashboard Cite

Abstract. We present a case of a 55-year-old female who suffered from a mass in the right upper abdomen, which had been present for over six months. Pre-operative blood examinations, including tumor markers, were normal. Initially, the admitting diagnosis was a giant celiac cyst, due to its liquid cystic appearance and large size (approximately 30.0x18.0 cm), visible in the hepatic region under ultrasound. Following the discovery of a cystic duct during surgery, the diagnosis was corrected to be a giant gallbladder. As no obstructive matter was observed, the giant gallbladder was considered to be congenital.

show abstract

“…According to the procedure method used, Tessier et al [10,13,[16][17][18] performed laparoscopic cholecystectomy. In our study, classic open cholecystectomy was preferred as like as some other studies [6,9,11,12,14,15]. In giant gall stones, it is much difficult to do laparoscopic cholecystectomy, so conversion from laparoscopic to open cholecystectomy is often performed because the giant stones are associated with more inflammation and thickening of the gallbladder wall and could make it much more difficult to hold the gallbladder with a grasper and expose Calot's triangle anatomy and retrieve such a large gallstone [19,20].…”

Section: Discussionmentioning

confidence: 87%

“…Tessier et al [ 10 ] removed a huge gallbladder by laparoscopic surgery. Hsu et al [ 11 ] reported the first and the only huge cancerous gallbladder in the literature. Panaro et al [ 12 ] presented the largest gallbladder even reported in the world in a patient with Byler's disease (a group of diseases known as progressive familial intrahepatic cholestasis).…”

Section: Discussionmentioning

confidence: 99%

“…When obstructed, the gallbladder can distend markedly and contain up to 300 mL of fluid [1,4,5]. We report a case with a huge and severely inflamed gallbladder, as we have just found only a few earlier case reports with a huge gallbladder in the literature [6][7][8][9][10][11][12][13][14][15][16][17][18]. is case report and review may help to find the mechanism for the development of a giant gallbladder or cholecystomegaly.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cholecystomegaly: A Case Report and Review of the Literature

Jahantab

Salehi

Mehrabi

et al. 2020

Case Reports in Gastrointestinal Medicine

View full text Add to dashboard Cite

Chronic cholecystitis or symptomatic gallbladder is a prolonged mechanical or functional disorder of abnormal gallbladder emptying. Most of the patients have recurrent pain attacks (acute biliary colic), but when pain lasts more than 24 hours, it requires urgent surgical intervention (acute cholecystitis). The length of a fully distended gallbladder is about 7 to 10 cm. We report a case of a huge and severely inflamed gallbladder, as we have just found only a few previous case reports of the huge gallbladder in the literature. This case report and review may help to find a mechanism for the development of a giant gallbladder. The patient was a 36-year-old woman, who had been known to have a symptomatic gallstone for at least three years. The patient underwent laparotomy, and a giant 22 cm roundish severely inflamed and overdistended gallbladder with wall thickening and tight adhesion to adjacent organs was found under the right liver lobe. Femininity and diabetes seem to be risk factors for developing a huge gallbladder, and several hypotheses are encountered: (1) a long-lasting obstructed cystic duct or biliary tree, and accumulation of mucosal secretion from the gallbladder epithelium, (2) an obstructed hepatic/cystic duct junction with a stone acting like a check valve and bile trapping mechanism, and (3) gallbladder dysfunction and cholecystoparesis affecting through reduced cholecystokinin and celiac parasympathetic nerve disturbance in diabetes and diabetic autonomic neuropathy. Open cholecystectomy is the technique of choice in surgical excision of a huge gallbladder; however, laparoscopy could be performed by expert hands.

show abstract

Giant Gallbladder: Adenocarcinoma Complicated With Empyema

Cited by 9 publications

References 1 publication

Huge gangrenous gallbladder presenting as gastro-esophageal reflux disease successfully treated by laparoscopic cholecystectomy: Case report and literature review

Huge gangrenous gallbladder presenting as gastro-esophageal reflux disease successfully treated by laparoscopic cholecystectomy: Case report and literature review

A case of congenital giant gallbladder with massive hydrops mimicking celiac cyst

Cholecystomegaly: A Case Report and Review of the Literature

Contact Info

Product

Resources

About