Imaging and pathologic analysis of a gallbladder lesion

Charalampos Maskalidis, Sofia Goulvanidou, Alexandros Tsitouridis


A 68-year-old female presented with right epigastric pain at the emergency department. The patient had no fever. Laboratory data showed elevated liver enzymes as well as total and direct bilirubin.

Abdominal ultrasonography (fig 1) was initially implemented. Further imaging included CT examination (fig 2,3) and MRI-MRCP (fig 4, 5, 6).

Surgical removal of the gallbladder and biopsy results indicated further biopsy sampling from the biliary tree. The pathologic findings are presented on fig 7.


biliary papillomatosis, gallbladder, sloughed tumor, malignant transformation


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