case_images: PMC5832400_01
case_images: Magnetic resonance imaging (MRI) of the liver showing mass in relation (arrows) to portal vessels.
case_images: cureus-0010-00000002011-i01.jpg
case_images: PMC5832400_01_cureus-0010-00000002011-i01.jpg
case_images: FIG1
case_images: An MRI of the abdomen was obtained to further characterize the liver and gallbladder changes, which ruled out additional lesions in the liver (Figures 1-2).
case_images: Magnetic resonance imaging (MRI) with no portal or hepatic vessel spread (arrows)
case_images: cureus-0010-00000002011-i02.jpg
case_images: PMC5832400_01_cureus-0010-00000002011-i02.jpg
case_images: FIG2
case_images: An MRI of the abdomen was obtained to further characterize the liver and gallbladder changes, which ruled out additional lesions in the liver (Figures 1-2).
case_images: Ultrasound-guided core needle biopsy obtained from the hepatic mass. Upper left: Liver squamous cell (SCC) islands with necrosis in the gallbladder wall; Upper right: mitotic figures and pleomorphism, hematoxylin and eosin (H&E) 50X; Lower panel: squamous cells islands (black arrow) in liver (red arrow), H&E 100X
case_images: cureus-0010-00000002011-i03.jpg
case_images: PMC5832400_01_cureus-0010-00000002011-i03.jpg
case_images: FIG3
case_images: There were trapped bile ducts in many areas, but no convincing glandular component to the tumor (Figure 3).
case_images: Resected gallbladder mass
case_images: cureus-0010-00000002011-i04.jpg
case_images: PMC5832400_01_cureus-0010-00000002011-i04.jpg
case_images: FIG4
case_images: A laparotomy with a central hepatectomy (segmentectomy Iva, IVb, V, and VIII) with en bloc cholecystectomy and hepatoduodenal lymphadenectomy were performed (Figures 4-5). 
case_images: Liver mass (arrows) with resection of affected segments
case_images: cureus-0010-00000002011-i05.jpg
case_images: PMC5832400_01_cureus-0010-00000002011-i05.jpg
case_images: FIG5
case_images: A laparotomy with a central hepatectomy (segmentectomy Iva, IVb, V, and VIII) with en bloc cholecystectomy and hepatoduodenal lymphadenectomy were performed (Figures 4-5). 