A Case of Hemorrhagic Gallbladder Paraganglioma Causing Acute Cholecystitis.
10.3349/ymj.2001.42.3.352
- Author:
Young Up CHO
1
;
Jang Yong KIM
;
Sun Keun CHOI
;
Yoon Seok HUR
;
Keon Young LEE
;
Sei Joong KIM
;
Seung Ik AHN
;
Kee Chun HONG
;
Ze Hong WOO
;
Jee Young HAN
;
Seok Hwan SHIN
Author Information
1. Department of Surgery, Inha University College of Medicine, Incheon, Korea. shshin@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Paraganglioma;
gallbladder;
acute cholecystitis
- MeSH:
Acute Disease;
Case Report;
Cholecystitis/*etiology;
Female;
Gallbladder Neoplasms/*complications/pathology;
Hemorrhage/*complications;
Human;
Immunohistochemistry;
Middle Age;
Paraganglioma/*complications/pathology
- From:Yonsei Medical Journal
2001;42(3):352-356
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gallbladder paraganglioma is a very rare tumor and so far only a few cases have been reported. Most of these were asymptomatic and were found incidentally during operation. Recently, we experienced a gallbladder paraganglioma that gave rise to hemorrhage, which in turn caused acute cholecystitis. Our case involved a 45 year-old female patient complaining of an intermittent right upper abdominal pain. After a preoperative evaluation, cholecystectomy and lymphadenectomy were performed under the impression of gallbladder cancer with acute cholecystitis. Postoperative pathologic examination revealed a hemorrhagic gallbladder paraganglioma accompanied by acute cholecystitis. Immunohistochemical staining of the chief cells for neuron specific enolase, chromogranin and synaptophysin were positive. Sustentacular cells also stained positively for S100 protein.