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(a: Axial plane, b: sagittal plane, c: coronal plane): Abdominal (CT) revealed a 8 x 11 cm right paraumbilical intraabdominal cystic mass, no calcified density was found.
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The mass had low density, homogenous fluid content, with thin enhancing wall, no intracystic enhancing nodules, calcifications or fatty component. (Fig. 1a-c).
The excised mass, with the gallstones inside it.
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Chronic inflammatory cells with cholesterol crystals of gallstone debris.
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The wall was massively infiltrated by chronic inflammatory cells (xanthoma cells, giant cells surrounding cholesterol crystals and large number of plasma cells with foci micro abscesses) (Fig. 3).