Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion

Gallbladder (GB) cancer is a rare cause of abdominal pain in young adults. It is difficult to confirm an immediate and correct diagnosis based on the presentation of an acute episode of abdominal pain. We report a 36-year-old man who was referred to our hospital because of right upper abdominal pain...

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Autores principales:	Ren-Tzer Wang, Jheng-Yan Chen, Jyh-Cherng Yu, Teng-Wei Chen, Chung-Bao Hsieh, De-Chuan Chan, Kuo-Feng Hsu
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	gallstone murphy's sign adenocarcinoma cholecystitis Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/79ded56aa2cc4fc989f033415c4640be
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spelling	oai:doaj.org-article:79ded56aa2cc4fc989f033415c4640be2021-11-12T10:24:36ZUnusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion1011-456410.4103/jmedsci.jmedsci_243_20https://doaj.org/article/79ded56aa2cc4fc989f033415c4640be2021-01-01T00:00:00Zhttp://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2021;volume=41;issue=6;spage=309;epage=311;aulast=Wanghttps://doaj.org/toc/1011-4564Gallbladder (GB) cancer is a rare cause of abdominal pain in young adults. It is difficult to confirm an immediate and correct diagnosis based on the presentation of an acute episode of abdominal pain. We report a 36-year-old man who was referred to our hospital because of right upper abdominal pain that had persisted for 1 month. The tentative diagnosis was gallstone-induced acute on chronic cholecystitis according to the clinical symptoms/signs and imaging studies. Laparoscopic cholecystectomy (LC) was performed after admission. Histological examination revealed adenocarcinoma of the GB that was moderately differentiated and invading the perimuscular connective tissue. Magnetic resonance imaging was performed after the surgery, showing negativity for the invasion to other organs. Laparoscopic bisegmentectomy of the liver (seg. 4b + 5) and lymph node dissection was performed following LC. Adjuvant chemotherapy was administered, and the patient is currently alive without recurrence for 6 months. The uncommon etiology of cholecystitis in young adults is discussed.Ren-Tzer WangJheng-Yan ChenJyh-Cherng YuTeng-Wei ChenChung-Bao HsiehDe-Chuan ChanKuo-Feng HsuWolters Kluwer Medknow Publicationsarticlegallstonemurphy's signadenocarcinomacholecystitisMedicineRMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENJournal of Medical Sciences, Vol 41, Iss 6, Pp 309-311 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	gallstone murphy's sign adenocarcinoma cholecystitis Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	gallstone murphy's sign adenocarcinoma cholecystitis Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Ren-Tzer Wang Jheng-Yan Chen Jyh-Cherng Yu Teng-Wei Chen Chung-Bao Hsieh De-Chuan Chan Kuo-Feng Hsu Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
description	Gallbladder (GB) cancer is a rare cause of abdominal pain in young adults. It is difficult to confirm an immediate and correct diagnosis based on the presentation of an acute episode of abdominal pain. We report a 36-year-old man who was referred to our hospital because of right upper abdominal pain that had persisted for 1 month. The tentative diagnosis was gallstone-induced acute on chronic cholecystitis according to the clinical symptoms/signs and imaging studies. Laparoscopic cholecystectomy (LC) was performed after admission. Histological examination revealed adenocarcinoma of the GB that was moderately differentiated and invading the perimuscular connective tissue. Magnetic resonance imaging was performed after the surgery, showing negativity for the invasion to other organs. Laparoscopic bisegmentectomy of the liver (seg. 4b + 5) and lymph node dissection was performed following LC. Adjuvant chemotherapy was administered, and the patient is currently alive without recurrence for 6 months. The uncommon etiology of cholecystitis in young adults is discussed.
format	article
author	Ren-Tzer Wang Jheng-Yan Chen Jyh-Cherng Yu Teng-Wei Chen Chung-Bao Hsieh De-Chuan Chan Kuo-Feng Hsu
author_facet	Ren-Tzer Wang Jheng-Yan Chen Jyh-Cherng Yu Teng-Wei Chen Chung-Bao Hsieh De-Chuan Chan Kuo-Feng Hsu
author_sort	Ren-Tzer Wang
title	Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
title_short	Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
title_full	Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
title_fullStr	Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
title_full_unstemmed	Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
title_sort	unusual cause of abdominal pain in a young adult: the clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/79ded56aa2cc4fc989f033415c4640be
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Unusual cause of abdominal pain in a young adult: The clinical pitfalls of adenocarcinoma of the gallbladder with liver invasion

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