Gallbladder carcinosarcoma masquerading as a hepatic abscess

Carcinosarcomas of the gallbladder are extremely rare tumors and infrequently reported in the literature. We demonstrate a case of a 64-year-old female who presented with a 2-month history of a right upper quadrant mass, intermittent fevers, and abdominal distension following recent travel to Ghana....

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Bibliographic Details
Published in:Radiology case reports 2021-01, Vol.16 (1), p.152-156
Main Authors: Khurram, Ruhaid, Khamar, Rahul, Lunat, Raees, Novelli, Daniel, Ozretić, Luka, Chaudhary, Khurram
Format: Article
Language:English
Subjects:
Abscess
Carcinosarcoma
Case Report
Gallbladder
Hepatobiliary
Oncology
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Summary:Carcinosarcomas of the gallbladder are extremely rare tumors and infrequently reported in the literature. We demonstrate a case of a 64-year-old female who presented with a 2-month history of a right upper quadrant mass, intermittent fevers, and abdominal distension following recent travel to Ghana. A computed tomography (CT) scan of the abdomen and pelvis demonstrated a large hepatic lesion with co-existing gallbladder distension, suggestive of a hepatic abscess. The patient was initially managed with intravenous antibiotics but failed to respond to treatment. A subsequent magnetic resonance imaging (MRI) scan of the liver showed a locally invasive lobulated soft tissue lesion arising from the gallbladder fundus and extending into the liver parenchyma. The lesion was surgically excised with a central hepatectomy. Histopathologic analysis showed a carcinosarcoma of the gallbladder.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.10.058