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Infection of the left sided gallbladder simulating liver abscess and gastric antral tumor

Abstract

The left sided gallbladder, being a rare occurrence, may create diagnostic problem especially when it becomes infected. Recently, we have experienced 2 cases of infection of left sided gallbladder at the Department of Radiology, St Mary's Hospital, Catholic Medical College. Case I was a 32-year-old housewife with dyspepsia, epigastric pain and recurring bouts of high fever of 2 months duration. Under the provisional diagnosis of liver abscess liver scan was performed which revealed well defined cold area in the left lobe supporting the provisional diagnosis. Tender cystic mass was aspirated and pus was drained. The injected air at the occasion of aspiration outlined well defined cystic structure. Because aspiration failed to control the symptoms, laparotomy was performed. Surgeon found a left sided gallbladder which was empyematous. Case II was a 38 year old business man admitted to the hospital because of tender ill defined mass in mid epigastrium. The patient was febrile (39.4 .deg. C) and anemic. An upper GI series disclosed an irregular filling defect involving the antrum of the stomach. The mass was primarily extrinsic but was closely fixed to the gastric wall. Surgical intervention revealed chronic cholecystitis and pericholecystitis with thick adhesion to the distal stomach.
Authors:
Kim, Jong Woo; Ahn, Jae Sung [1] 
  1. St Mary's Hospital Catholic Medical College, Seoul (Korea, Republic of)
Publication Date:
Dec 15, 1972
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 8; Journal Issue: 4; Other Information: 7 refs, 5 figs, 1 tab
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; BILIARY TRACT; DIAGNOSIS; INFECTIVITY; LIVER; NEOPLASMS; PATIENTS; STOMACH; SYMPTOMS
OSTI ID:
21174130
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 1738-2637; DBSHAH; TRN: KR0901537049481
Submitting Site:
KRN
Size:
page(s) 303-306
Announcement Date:
Jul 06, 2009

Citation Formats

Kim, Jong Woo, and Ahn, Jae Sung. Infection of the left sided gallbladder simulating liver abscess and gastric antral tumor. Korea, Republic of: N. p., 1972. Web.
Kim, Jong Woo, & Ahn, Jae Sung. Infection of the left sided gallbladder simulating liver abscess and gastric antral tumor. Korea, Republic of.
Kim, Jong Woo, and Ahn, Jae Sung. 1972. "Infection of the left sided gallbladder simulating liver abscess and gastric antral tumor." Korea, Republic of.
@misc{etde_21174130,
title = {Infection of the left sided gallbladder simulating liver abscess and gastric antral tumor}
author = {Kim, Jong Woo, and Ahn, Jae Sung}
abstractNote = {The left sided gallbladder, being a rare occurrence, may create diagnostic problem especially when it becomes infected. Recently, we have experienced 2 cases of infection of left sided gallbladder at the Department of Radiology, St Mary's Hospital, Catholic Medical College. Case I was a 32-year-old housewife with dyspepsia, epigastric pain and recurring bouts of high fever of 2 months duration. Under the provisional diagnosis of liver abscess liver scan was performed which revealed well defined cold area in the left lobe supporting the provisional diagnosis. Tender cystic mass was aspirated and pus was drained. The injected air at the occasion of aspiration outlined well defined cystic structure. Because aspiration failed to control the symptoms, laparotomy was performed. Surgeon found a left sided gallbladder which was empyematous. Case II was a 38 year old business man admitted to the hospital because of tender ill defined mass in mid epigastrium. The patient was febrile (39.4 .deg. C) and anemic. An upper GI series disclosed an irregular filling defect involving the antrum of the stomach. The mass was primarily extrinsic but was closely fixed to the gastric wall. Surgical intervention revealed chronic cholecystitis and pericholecystitis with thick adhesion to the distal stomach.}
journal = []
issue = {4}
volume = {8}
place = {Korea, Republic of}
year = {1972}
month = {Dec}
}