rss
BMJ Case Reports 2017; doi:10.1136/bcr-2017-220104
  • Rare disease
  • CASE REPORT

Ciliated foregut cyst of the gall bladder: the largest ever described

  1. Predrag Andrejevic
  1. Department of Surgery, Mater Dei Hospital, Msida, Malta
  1. Correspondence to Alexia Farrugia, alexia.farrugia{at}icloud.com
  • Accepted 16 June 2017
  • Published 14 July 2017

Summary

A 78-year-old man presented to the accident and emergency department with acute abdominal pain. A CT scan done to investigate the pain showed an intra-abdominal abscess medial to the caecum and an incidental exophytic lesion in the gall bladder. This was excised during surgery and sent for histological examination. Histology showed a ciliated foregut cyst of the gall bladder. A literature review revealed that this was the 13th case worldwide, as ciliated foregut cysts are usually found either above the diaphragm or in the liver. It was also the largest cyst described, with 45 mm diameter. So far none of these cysts found in the gall bladder have shown malignant transformation, though those found in the liver have been known to become malignant. Due to histological similarity, excision of ciliated foregut cysts of the gall bladder should be considered as there is still a risk of malignant transformation.

Footnotes

  • Contributors AF did the original literature search, wrote up the article and contacted all contributors for their work. IB had the idea for the article and supervised the write up. PA supervised the write up. The patient was also under his care.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article