case_images: PMC11372774_01
case_images: CT abdomen ((a)-axial section, (b)-coronal section) showing Gallbladder wall mass with liver metastases.
case_images: 10.1177_2050313X241280058-fig1.jpg
case_images: PMC11372774_01_10.1177_2050313X241280058-fig1.jpg
case_images: fig1-2050313X241280058
case_images: The duplex scan of lower limbs showed extensive deep venous thrombosis involving the right popliteal and right anterior tibial vein and Contrast enhanced Computed tomography(CT) abdomen showed a large 13 x 10 x 9 cm complex lobulated heterogeneous hypodense liver lesion, involving segments 1, 4, 5, 6, with mild heterogeneous peripheral enhancement and an over-distended gall bladder with enhancing mass (Figure 1(a) and (b)).
case_images: The immunomorphological features favored a metastatic deposit of pancreaticobiliary origin. (a) The tumor was an adenocarcinoma composed of malignant glands (Hematoxylin and eosin x 100) (b) The tumor cells were positive for CK 7 (b1- CK 7 x 100, b2 - CK 7 x 400) (c) The tumor cells were positive for CK 19 (c1 - CK 19 x 100, c2 CK 19 x 400). The tumor cells were negative for (d) CK 20 (CK 20 x 100) (e) Hep Par 1 (HepPar 1 x 100) and (f) TTF-1 (TTF-1 x 100).
case_images: 10.1177_2050313X241280058-fig2.jpg
case_images: PMC11372774_01_10.1177_2050313X241280058-fig2.jpg
case_images: fig2-2050313X241280058
case_images: The morphological features and immunohistochemical profile favored an adenocarcinoma of pancreaticobiliary origin (Figure 2).