PMC4531919_01
Ultrasonographic examination showed an inhomogenous, hypoechoic wall thickening of the gallbladder with internal small stones, and no dilatation of intrahepatic bile ducts.
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Coagulation profiles were PT 12.8sec (control 11.8sec), aPTT 58.4sec (control from 28 to 40sec) and factor VIII 7.5%(50-150%). Ultrasonographic examination showed an inhomogenous, hypoechoic wall thickening of the gallbladder with internal small stones and no dilatation of intrahepatic bile ducts (Fig. 1). Computed tomogram(CT) revealed a well-marginated, uniform, marked wall thickening of the gallbladder with multiseptate enhancement (Fig. 2).
Computed tomogram (CT) revealed a well-marginated, uniform, marked wall thickening of the gallbladder with multiseptate enhancement. There was no regional lymph node enlargement or focal mass in the liver.
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Coagulation profiles were PT 12.8sec (control 11.8sec), aPTT 58.4sec (control from 28 to 40sec) and factor VIII 7.5%(50-150%). Ultrasonographic examination showed an inhomogenous, hypoechoic wall thickening of the gallbladder with internal small stones and no dilatation of intrahepatic bile ducts (Fig. 1). Computed tomogram(CT) revealed a well-marginated, uniform, marked wall thickening of the gallbladder with multiseptate enhancement (Fig. 2).
Magnetic resonance imaging (MRI) demonstrated diffuse wall thickening of the gallbladder by viewing high signal foci with signal void lesions.
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Magnetic resonance imaging (MRI) demonstrated diffuse wall thickening of the gallbladder by viewing high signal foci with signal void lesions (Fig. 3).
Cross sections through the wall revealed multiple yellow-colored, nodule-like lesions ranging from 0.5-2 cm. There were multiple black pigmented gallstones ranging from 0.5-1 cm.
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There were also multiple black pigmented gallstones ranging from 0.5-1 cm (Fig. 4).
The pathologic findings showed the collection of foamy histiocytes containing abundant lipid in the cytoplasm and admixed lymphoid cells (x200).
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The pathologic findings showed the collection of foamy histiocytes containing abundant lipid in the cytoplasm and admixed lymphoid cells (Fig. 5).