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Bile Granuloma Mimicking Peritoneal Seeding: A Case Report

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Author(s)
Hasong JeongHye Won LeeHye Ra JungIlseon HwangSun Young KwonYu Na KangSang Pyo KimMisun Choe
Keimyung Author(s)
Lee, Hye WonJung, Hye RaHwang, Il SeonKwon, Sun YoungKang, Yu NaKim, Sang PyoChoe, Mi Sun
Department
Dept. of Pathology (병리학)
Journal Title
Journal of Pathology and Translational Medicine
Issued Date
2018
Volume
52
Issue
5
Keyword
BileGranulomaCholecystectomy
Abstract
Laparoscopic cholecystectomy is a widely used treatment method for most cholelithiasis and is a relatively safe procedure. Foreign body granulomatous reaction to bile or gallstone spillage during laparoscopic cholecystectomy has rarely been reported. We report a case of bile granuloma after laparoscopic cholecystectomy, which mimicked peritoneal seeding. A 59-year-old Korean man presented with right upper quadrant pain. He underwent laparoscopic cholecystectomy for acute cholecystitis with cholelithiasis. Pathologic examination revealed an incidental adenocarcinoma invading the lamina propria with acute cholecystitis and cholelithiasis. After 3 months, follow-up abdominal computed tomography revealed a subhepatic nodule, which showed hypermetabolism on positron emission tomography–computed tomography. Suspecting localized peritoneal seeding, wedge resection of the liver, wedge resection of the transverse colon, and omentectomy were performed. Pathologic examination of the resected specimens revealed multiple bile granulomas. Awareness of bile granuloma mimicking malignancy is noteworthy for patient management to reduce unnecessary procedure during postoperative surveillance.
Keimyung Author(s)(Kor)
이혜원
정혜라
황일선
권선영
강유나
김상표
최미선
Publisher
School of Medicine (의과대학)
Citation
Hasong Jeong et al. (2018). Bile Granuloma Mimicking Peritoneal Seeding: A Case Report. Journal of Pathology and Translational Medicine, 52(5), 339–343. doi: 10.4132/jptm.2018.06.02
Type
Article
ISSN
2383-7845
Source
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166014/
DOI
10.4132/jptm.2018.06.02
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41736
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
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