The Atypical Gallbladder: Surgical Encounters with Tuberculosis, Carcinoma, and Migrated Stent
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| Format: | Recurso digital |
| Langue: | anglais |
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2025
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| author | International Journal of Medical Science and Advanced Clinical Research (IJMACR) |
| author_facet | International Journal of Medical Science and Advanced Clinical Research (IJMACR) |
| contents | <p><strong><span lang="EN-US">Abstract</span></strong></p> <p><strong><span lang="EN-US">Background: </span></strong><span lang="EN-US">Gallbladder diseases, although frequently underestimated, can pose significant clinical challenges due to their varied etiologies, which encompass infectious processes, neoplastic conditions, and complications resulting from obstructive phenomena. Among these conditions, tuberculosis of the gallbladderis a rare but clinically significant diagnosis that presents unique diagnostic challenges and may lead to severe complications. Synchronous gallbladder and pancreatic cancer is extremely rare. To the best of our knowledge, 1.2 cases per 100,000 populations per year. Migrated stent within the gallbladder is rare but significant complication that can arise from improper placement or migration. This abstract aims to investigate the complexities surrounding these three conditions.</span></p> <p><strong><span lang="EN-US">Objective</span></strong><span lang="EN-US">: The primary purpose of this study is to delineate the clinical presentations, diagnostic challenges, management strategies, and outcomes relevant to tuberculosis of the gallbladder, gallbladder carcinoma and migrated stent. </span></p> <p><strong><span lang="EN-US">Case Discussion</span></strong><span lang="EN-US">: Tuberculosis of the Gallbladder: A 83 year old female with history of Pott's spine treated on 2020 complaints of abdomen pain came to ER , CECT abdomen showed features of a calculus cholecystitis, taken up for laparoscopic cholecystectomy in which the final biopsy report revealed features of xanthogranulomatous changes.</span></p> <p><span lang="EN-US">Carcinoma of Gallbladder: A 54 year old female with no comorbids came to ER with complaints of abdomen pain more over the right hypochondriac with jaundice. MRCP showed thickening of fundus of Gallbladder with satellite lesion, hence proceeded with biopsy which showed features of metastatic carcinomatous deposits suggestive of a primary from pancreaticobiliary. </span></p> <p><span lang="EN-US">Migrated stent: A 32 year old male with past history of cholecystectomy came to OPD with complaints of abdomen pain, USG abdomen showed features of acute calculus cholecystitis. Hence taken up for laparoscopic cholecystetctomy. Intraoperatively, a pigtail stent was seen passing through the liver into gallbaldder. </span></p> <p><strong><span lang="EN-US">Results</span></strong></p> <p><span lang="EN-US">Tuberculosis of the Gallbladder: The occurrence of tuberculosis affecting the gallbladder is exceedingly rare. Diagnostic imaging modalities, such as ultrasound and computed tomography (CT), may reveal gallbladder wall thickening, which can mimic neoplastic processes. </span></p> <p><span lang="EN-US">Carcinoma Gallbladder: Gallbladder carcinoma is often identified incidentally during surgical procedures performed for presumed benign conditions. Imaging studies-including ultrasound, CT, and magnetic resonance imaging (MRI)-are instrumental in staging the disease. Surgical resection remains the primary curative approach. </span></p> <p><span lang="EN-US">Migrated Stent: The retention of a stent within the gallbladder is a rare but significant complication that can arise from improper placement or migration. Diagnosis typically involves imaging modalities like ultrasound or CT scans. Management options include endoscopic removal via ERCP, or surgical intervention for symptomatic patients. Complications may include cholecystitis, biliary obstruction, and infection. </span></p> <p><strong><span lang="EN-US">Conclusion</span></strong></p> <p><span lang="EN-US">The emergence of technology represents a significant advancement in the palliative management of biliary obstruction, providing timely symptom relief for patients impacted by both benign and malignant gallbladder conditions. Greater awareness and understanding of these clinical complexities will promote the development of enhanced management strategies, ultimately improving patient outcomes. </span></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_16737204 |
| institution | Zenodo |
| language | eng |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | The Atypical Gallbladder: Surgical Encounters with Tuberculosis, Carcinoma, and Migrated Stent International Journal of Medical Science and Advanced Clinical Research (IJMACR) pancreatic-biliary cancer, case-series, laparoscopic cholecystectomy, retained stent, cancer gallbladder, gallbladder tuberculosis <p><strong><span lang="EN-US">Abstract</span></strong></p> <p><strong><span lang="EN-US">Background: </span></strong><span lang="EN-US">Gallbladder diseases, although frequently underestimated, can pose significant clinical challenges due to their varied etiologies, which encompass infectious processes, neoplastic conditions, and complications resulting from obstructive phenomena. Among these conditions, tuberculosis of the gallbladderis a rare but clinically significant diagnosis that presents unique diagnostic challenges and may lead to severe complications. Synchronous gallbladder and pancreatic cancer is extremely rare. To the best of our knowledge, 1.2 cases per 100,000 populations per year. Migrated stent within the gallbladder is rare but significant complication that can arise from improper placement or migration. This abstract aims to investigate the complexities surrounding these three conditions.</span></p> <p><strong><span lang="EN-US">Objective</span></strong><span lang="EN-US">: The primary purpose of this study is to delineate the clinical presentations, diagnostic challenges, management strategies, and outcomes relevant to tuberculosis of the gallbladder, gallbladder carcinoma and migrated stent. </span></p> <p><strong><span lang="EN-US">Case Discussion</span></strong><span lang="EN-US">: Tuberculosis of the Gallbladder: A 83 year old female with history of Pott's spine treated on 2020 complaints of abdomen pain came to ER , CECT abdomen showed features of a calculus cholecystitis, taken up for laparoscopic cholecystectomy in which the final biopsy report revealed features of xanthogranulomatous changes.</span></p> <p><span lang="EN-US">Carcinoma of Gallbladder: A 54 year old female with no comorbids came to ER with complaints of abdomen pain more over the right hypochondriac with jaundice. MRCP showed thickening of fundus of Gallbladder with satellite lesion, hence proceeded with biopsy which showed features of metastatic carcinomatous deposits suggestive of a primary from pancreaticobiliary. </span></p> <p><span lang="EN-US">Migrated stent: A 32 year old male with past history of cholecystectomy came to OPD with complaints of abdomen pain, USG abdomen showed features of acute calculus cholecystitis. Hence taken up for laparoscopic cholecystetctomy. Intraoperatively, a pigtail stent was seen passing through the liver into gallbaldder. </span></p> <p><strong><span lang="EN-US">Results</span></strong></p> <p><span lang="EN-US">Tuberculosis of the Gallbladder: The occurrence of tuberculosis affecting the gallbladder is exceedingly rare. Diagnostic imaging modalities, such as ultrasound and computed tomography (CT), may reveal gallbladder wall thickening, which can mimic neoplastic processes. </span></p> <p><span lang="EN-US">Carcinoma Gallbladder: Gallbladder carcinoma is often identified incidentally during surgical procedures performed for presumed benign conditions. Imaging studies-including ultrasound, CT, and magnetic resonance imaging (MRI)-are instrumental in staging the disease. Surgical resection remains the primary curative approach. </span></p> <p><span lang="EN-US">Migrated Stent: The retention of a stent within the gallbladder is a rare but significant complication that can arise from improper placement or migration. Diagnosis typically involves imaging modalities like ultrasound or CT scans. Management options include endoscopic removal via ERCP, or surgical intervention for symptomatic patients. Complications may include cholecystitis, biliary obstruction, and infection. </span></p> <p><strong><span lang="EN-US">Conclusion</span></strong></p> <p><span lang="EN-US">The emergence of technology represents a significant advancement in the palliative management of biliary obstruction, providing timely symptom relief for patients impacted by both benign and malignant gallbladder conditions. Greater awareness and understanding of these clinical complexities will promote the development of enhanced management strategies, ultimately improving patient outcomes. </span></p> |
| title | The Atypical Gallbladder: Surgical Encounters with Tuberculosis, Carcinoma, and Migrated Stent |
| topic | pancreatic-biliary cancer, case-series, laparoscopic cholecystectomy, retained stent, cancer gallbladder, gallbladder tuberculosis |
| url | https://doi.org/10.5281/zenodo.16737204 |