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Suprahepatic gallbladder and right lobe anomaly of the liver in patients with biliary cancers
Authors:Bor-Shyang Sheu MD  Dr. Xi-Zhang Lin MD  Chiung-Yu Chen MD  Nan-Haw Chow MD  Pin-Wen Lin MD  Hong-Ming Tsai MD
Affiliation:(1) From the Departments of Internal Medicine, Pathology, Surgery, and Radiology, National Cheng Kung University Hospital, Tainan, Taiwan
Abstract:Summary The suprahepatic region is a rare ectopic location of the gallbladder. It usually combines with right lobe anomaly of the liver. Here we report two unusual cases of suprahepatic gallbladder with agenesis or hypogenesis of the right lobe of the liver and biliary cancer. A patient with a gallbladder tumor was admitted to our emergency room with acute cholecystitis and liver abscess. Imaging examinations and operation confirmed the suprahepatic position of gallbladder, agenesis of the right lobe, and dissemination of gallbladder cancer. In the patient with cholangiocarcinoma, CT scans and percutaneous transhepatic cholangiography documented the presence of a hilar tumor and hypogenesis of the right lobe. Both of these patients died from biliary tract cancer soon after operation.
Keywords:biliary cancer  suprahepatic gallbladder  liver anomaly
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