Head and Neck Imaging

MRI and CT Imaging Features of Unexpected Gallbladder Carcinoma in 14 Patients with Laparoscopic Cholecystectomy

Author:JI Wen-wei, GUO Sheng-li, SONG Zhan,et al.

affiliation:Department of Biliary General Surgery, Nanyang Central Hospital, Nanyang 473000, Henan Province, China

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Abstract

Objective To explore the imaging features of magnetic resonance imaging (MRI) and CT of unexpected gallbladder carcinoma (UGC) in patients with laparoscopic cholecystectomy (LC). Methods The preoperative MRI and CT examination data of 14 UGC patients treated with LC in our hospital were retrospectively analyzed and compared with the pathological examination results. Results The postoperative pathology examination of 14 cases of UGC patients were diagnosed with gallbladder carcinoma, including 12 cases of adenocarcinoma and 2 cases of squamous carcinoma. Imaging examination showed that there were 9 cases of missed diagnoses and 5 cases of misdiagnosis. Conclusion The clinical data of high-risk gallbladder carcinoma patients should be comprehensively analyzed and the preoperative imaging examination techniques should be standardized, and the missed diagnosis or misdiagnosis should be avoid before LC. The intraoperative UGC should be timely given the radical surgery, and the measures are taken actively to prevent incision transfer.

【Keyword】Unexpected Gallbladder Carcinoma; Cholecystectomy; MRI; CT; Imaging Features

【Chart number】R735.8;R445.2;R445.3

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2018.02.005