case_images: PMC4785692_01
case_images: Ultrasound scan picture showing the fusiform dilatation of the common bile duct
case_images: NJS-22-43-g001.jpg
case_images: PMC4785692_01_NJS-22-43-g001.jpg
case_images: F1
case_images: Abdominal ultrasound revealed hepatomegaly (17.3 cm) with fusiform dilatation of the extrabiliary duct [Figures 1 and 2].
case_images: Doppler ultrasound scan picture showing the fusiform dilatation of the common bile and the hepatic artery
case_images: NJS-22-43-g002.jpg
case_images: PMC4785692_01_NJS-22-43-g002.jpg
case_images: F2
case_images: Abdominal ultrasound revealed hepatomegaly (17.3 cm) with fusiform dilatation of the extrabiliary duct [Figures 1 and 2].
case_images: Computerized tomography scan showing fusiform dilatation of the common bile duct
case_images: NJS-22-43-g003.jpg
case_images: PMC4785692_01_NJS-22-43-g003.jpg
case_images: F3
case_images: The gallbladder was dilated and filled with a heterogeneous, hyperdense mass which enhanced positively with contrast [Figures 3 and 4].
case_images: Computerized tomography scan showing thicken gallbladder wall and heterogeneous, hyperdense mass within the lumen
case_images: NJS-22-43-g004.jpg
case_images: PMC4785692_01_NJS-22-43-g004.jpg
case_images: F4
case_images: The gallbladder was dilated and filled with a heterogeneous, hyperdense mass which enhanced positively with contrast [Figures 3 and 4].
case_images: Intraoperative picture showing enlarged, hard, and nodular gallbladder
case_images: NJS-22-43-g005.jpg
case_images: PMC4785692_01_NJS-22-43-g005.jpg
case_images: F5
case_images: At laparotomy, there was mild hepatomegaly, an enlarged, hard, nodular, gallbladder, and a markedly dilated CBD, extending proximally to the common hepatic duct [Figures 5 and 6].
case_images: Intraoperative picture showing dilated common bile duct
case_images: NJS-22-43-g006.jpg
case_images: PMC4785692_01_NJS-22-43-g006.jpg
case_images: F6
case_images: At laparotomy, there was mild hepatomegaly, an enlarged, hard, nodular, gallbladder, and a markedly dilated CBD, extending proximally to the common hepatic duct [Figures 5 and 6].
case_images: Intraoperative picture showing resection of liver segment 4b and 5
case_images: NJS-22-43-g007.jpg
case_images: PMC4785692_01_NJS-22-43-g007.jpg
case_images: F7
case_images: Segment 4b and 5 hepatic resection, and complete resection of the extrahepatic cyst up to the confluence of the right and left hepatic ducts, followed by an end-to-side Roux-en-Y hepaticojejunostomy, was performed [Figure 7]. She had an uneventful recovery from the surgery and was discharged on postoperative day 5.
case_images: Photomicrography showing tumor infiltration of the entire wall of the gallbladder
case_images: NJS-22-43-g008.jpg
case_images: PMC4785692_01_NJS-22-43-g008.jpg
case_images: F8
case_images: Histopathology confirmed the diagnosis of adenocarcinoma of the gallbladder [Figure 8] there was no tumor in the cyst wall.