Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography
Primary gallbladder lymphoma, although rare, usually presents in females with symptoms mimicking cholecystitis. We present a rare case of primary gallbladder in an 81-year-old male with no risk factors whose only symptom was weight loss. Routine blood tests including liver function tests were unrema...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/813708 |
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| author | Monil Karia Grigorios Mitsopoulos Ketan Patel Akkib Rafique Hemant Sheth |
| author_facet | Monil Karia Grigorios Mitsopoulos Ketan Patel Akkib Rafique Hemant Sheth |
| author_sort | Monil Karia |
| collection | DOAJ |
| description | Primary gallbladder lymphoma, although rare, usually presents in females with symptoms mimicking cholecystitis. We present a rare case of primary gallbladder in an 81-year-old male with no risk factors whose only symptom was weight loss. Routine blood tests including liver function tests were unremarkable. A CT colonography was carried out to exclude colonic malignancy. Unilateral gallbladder wall thickening and lymphadenopathy were incidentally detected and confirmed by ultrasound and a decision for the patient to undergo laparoscopic cholecystectomy and intraoperative cholangiogram was made. Histology confirmed extranodal marginal zone lymphoma with follow-up staging and biopsy of the bone marrow not demonstrating spread. Cholecystectomy was therefore deemed curative and no adjuvant therapy was necessary. Thickening of the gallbladder wall on any imaging with or without symptoms should not be ignored or assumed to be cholecystitis, even in males with no risk factors. In these patients urgent cholecystectomy with intraoperative cholangiogram is indicated with histology and haematology follow-up. |
| format | Article |
| id | doaj-art-572150d18d334cb89f660418deaff040 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-572150d18d334cb89f660418deaff0402025-02-03T01:27:59ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/813708813708Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT ColonographyMonil Karia0Grigorios Mitsopoulos1Ketan Patel2Akkib Rafique3Hemant Sheth4Department of Surgery, Ealing Hospital, London UB1 3HW, UKDepartment of Pathology, Ealing Hospital, London UB1 3HW, UKDepartment of Haematology, Hillingdon Hospital, London UB8 3NN, UKDepartment of Radiology, Ealing Hospital, London UB1 3HW, UKDepartment of Surgery, Ealing Hospital, London UB1 3HW, UKPrimary gallbladder lymphoma, although rare, usually presents in females with symptoms mimicking cholecystitis. We present a rare case of primary gallbladder in an 81-year-old male with no risk factors whose only symptom was weight loss. Routine blood tests including liver function tests were unremarkable. A CT colonography was carried out to exclude colonic malignancy. Unilateral gallbladder wall thickening and lymphadenopathy were incidentally detected and confirmed by ultrasound and a decision for the patient to undergo laparoscopic cholecystectomy and intraoperative cholangiogram was made. Histology confirmed extranodal marginal zone lymphoma with follow-up staging and biopsy of the bone marrow not demonstrating spread. Cholecystectomy was therefore deemed curative and no adjuvant therapy was necessary. Thickening of the gallbladder wall on any imaging with or without symptoms should not be ignored or assumed to be cholecystitis, even in males with no risk factors. In these patients urgent cholecystectomy with intraoperative cholangiogram is indicated with histology and haematology follow-up.http://dx.doi.org/10.1155/2015/813708 |
| spellingShingle | Monil Karia Grigorios Mitsopoulos Ketan Patel Akkib Rafique Hemant Sheth Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography Case Reports in Surgery |
| title | Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography |
| title_full | Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography |
| title_fullStr | Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography |
| title_full_unstemmed | Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography |
| title_short | Primary Gallbladder Lymphoma in a Male Patient with No Risk Factors Detected Incidentally by CT Colonography |
| title_sort | primary gallbladder lymphoma in a male patient with no risk factors detected incidentally by ct colonography |
| url | http://dx.doi.org/10.1155/2015/813708 |
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