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Original Article

Spilled gallstones with surrounding inflammation

Authors:

JR Kichari ,

Department of Radiology, Medisch Spectrum Twente, Enschede, The Netherlands, NL
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HA Gielkens,

Department of Radiology, Medisch Spectrum Twente, Enschede, The Netherlands, NL
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R Bezooijen

Department of Radiology, Medisch Spectrum Twente, Enschede, The Netherlands, NL
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Abstract

Background: A 62-year-old Turkish man was referred for ultrasonography of a palpable mass in the left upper abdomen. Past medical history revealed emergency laparoscopic cholecystectomy for acute calculus cholecystitis about 6 months earlier in Turkey. On clinical examination there was a small palpable mass with mild tenderness in the left subcostal region. Due to a language barrier it was uncertain if the swelling was present before or after the cholecystectomy. Ultrasonography revealed a calcified lesion. The differential diagnosis at that time was dystrophic calcifications or a soft tissue tumor with calcification. However, additional conventional imaging of the left subcostal region revealed no calcifications. In the work-up of a possible soft tissue tumor MRI was performed.

How to Cite: Kichari, J., Gielkens, H. & Bezooijen, R., (2014). Spilled gallstones with surrounding inflammation. Journal of the Belgian Society of Radiology. 97(3), pp.156–157. DOI: http://doi.org/10.5334/jbr-btr.58
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Published on 01 May 2014.
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