| Haemobilia due to a large gall bladder polyp. | |
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MedLine Citation:
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PMID: 15168995 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 61-year-old male presented with recurrent bouts of haematemesis and melaena for last 10 days. On examination, he was found anaemic and had jaundice and a mass felt in the right hypochondrium. He required multiple blood transfusions. Oesophagogastroduodenoscopic (OGD) evaluation demonstrated no lesion, no fresh bleeding noticed from ampulla of Vater. Ultrasonographic evaluation demonstrated a heterogeneous mass within the gall bladder lumen with a chink of free lumen between the mass and gall bladder wall and also dilated biliary tract. Laparotomy confirmed mass within the gall bladder lumen without any lymph node involvement at porta or any liver metastasis, and had dilated common bile duct. Cholecystectomy was carried out. The cut section of the gall bladder showed a polypoid mass (5.5 cm x 4 cm) projecting inside lumen having a haemorrhagic spot on irregular surface and which was attached with fundus of the gall bladder through a small stalk. Choledochotomy showed only blood clots within the duct-choledochoduodenostomy was also done. Histopathological examination showed adenomatous polyp with foci of carcinoma in-situ or ly without any evidence of local metastasis. Follow-up was uneventful till after 11 months. |
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Authors:
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Manoranjan Kar; U Bhattacharyya; R N Laha; Indrajit Saha; M Mukhopadhyay |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Indian Medical Association Volume: 101 ISSN: 0019-5847 ISO Abbreviation: J Indian Med Assoc Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2004-05-31 Completed Date: 2004-07-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7505608 Medline TA: J Indian Med Assoc Country: India |
Other Details:
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Languages: eng Pagination: 554-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, Calcutta National Medical College and Hospital, Kolkata 700014. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Gallbladder Diseases
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complications*,
diagnosis,
surgery Hemobilia / etiology* Humans Male Middle Aged Polyps / complications*, diagnosis, surgery |
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