PMC4785692_01
Ultrasound scan picture showing the fusiform dilatation of the common bile duct
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F1
Abdominal ultrasound revealed hepatomegaly (17.3 cm) with fusiform dilatation of the extrabiliary duct [Figures 1 and 2].
Doppler ultrasound scan picture showing the fusiform dilatation of the common bile and the hepatic artery
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F2
Abdominal ultrasound revealed hepatomegaly (17.3 cm) with fusiform dilatation of the extrabiliary duct [Figures 1 and 2].
Computerized tomography scan showing fusiform dilatation of the common bile duct
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F3
The gallbladder was dilated and filled with a heterogeneous, hyperdense mass which enhanced positively with contrast [Figures 3 and 4].
Computerized tomography scan showing thicken gallbladder wall and heterogeneous, hyperdense mass within the lumen
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F4
The gallbladder was dilated and filled with a heterogeneous, hyperdense mass which enhanced positively with contrast [Figures 3 and 4].
Intraoperative picture showing enlarged, hard, and nodular gallbladder
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F5
At laparotomy, there was mild hepatomegaly, an enlarged, hard, nodular, gallbladder, and a markedly dilated CBD, extending proximally to the common hepatic duct [Figures 5 and 6].
Intraoperative picture showing dilated common bile duct
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F6
At laparotomy, there was mild hepatomegaly, an enlarged, hard, nodular, gallbladder, and a markedly dilated CBD, extending proximally to the common hepatic duct [Figures 5 and 6].
Intraoperative picture showing resection of liver segment 4b and 5
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F7
Segment 4b and 5 hepatic resection, and complete resection of the extrahepatic cyst up to the confluence of the right and left hepatic ducts, followed by an end-to-side Roux-en-Y hepaticojejunostomy, was performed [Figure 7]. She had an uneventful recovery from the surgery and was discharged on postoperative day 5.
Photomicrography showing tumor infiltration of the entire wall of the gallbladder
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F8
Histopathology confirmed the diagnosis of adenocarcinoma of the gallbladder [Figure 8] there was no tumor in the cyst wall.