Incidental gallbladder carcinoma post-cholecystectomy: Diagnostic dilemma and therapeutic implications
Gallbladder carcinoma is a rare but aggressive malignancy that poses significant diagnostic and therapeutic challenges. The clinical examination of a patient with suspected gallbladder pathology often reveals critical insights into the underlying condition. In this case, the patient presents with an...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Authorea
2025
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| Subjects: | |
| Online Access: | https://eprints.ums.edu.my/id/eprint/45026/1/FULLTEXT.pdf https://eprints.ums.edu.my/id/eprint/45026/ https://doi.org/10.22541/au.175413806.67699888/v1 |
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| Summary: | Gallbladder carcinoma is a rare but aggressive malignancy that poses significant diagnostic and therapeutic challenges. The clinical examination of a patient with suspected gallbladder pathology often reveals critical insights into the underlying condition. In this case, the patient presents with an ill-looking, undernourished appearance, accompanied by vital signs indicating a stable yet concerning state: a pulse of 78 bpm, blood pressure of 110/75 mmHg, and a respiratory rate of 12 breaths per minute, with no fever noted. A notable finding during the abdominal examination is the presence of a firm, tender, palpable mass in the right hypochondrium, indicative of a gallbladder abnormality that moves with respiration. Given these clinical observations, differential diagnoses must be meticulously considered, including cholelithiasis, empyema of the gallbladder, gallbladder carcinoma, and cholangiocarcinoma. |
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