Spilled gallstones with surrounding inflammation | Zendy

JR Kichari | Zendy; HA Gielkens | Zendy; Roland Bezooijen | Zendy

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Spilled gallstones with surrounding inflammation

Author(s) -

JR Kichari,

HA Gielkens,

Roland Bezooijen

Publication year - 2014

Publication title -

journal of the belgian society of radiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.232

H-Index - 24

ISSN - 1780-2393

DOI - 10.5334/jbr-btr.58

Subject(s) - gallstones , medicine , interventional radiology , continuing education , radiology , medical physics , general surgery , medical education

Background: A 62-year-old Turkish man was referred for ultrasonography of a palpable mass in the left upper abdomen. Past medical history revealed emergency laparoscopic cholecystectomy for acute calculus cholecystitis about 6 months earlier in Turkey. On clinical examination there was a small palpable mass with mild tenderness in the left subcostal region. Due to a language barrier it was uncertain if the swelling was present before or after the cholecystectomy. Ultrasonography revealed a calcified lesion. The differential diagnosis at that time was dystrophic calcifications or a soft tissue tumor with calcification. However, additional conventional imaging of the left subcostal region revealed no calcifications. In the work-up of a possible soft tissue tumor MRI was performed.

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