title: [Large flank tumor after covered gallbladder perforation].
abstract: We report on a 79-year-old woman patient with a tumor with a diameter of 18 cm in the right flank. The medical history of the patient was normal except for a single asymptomatic gallstone, which had been known since 12 years. Sonography and abdominal CT showed an enormous intra-abdominal mass filled with liquid with a permanent union with the gallbladder. We than performed an explorative laparotomy with a tumor resection and a cholecystectomy. The histological examination showed perforation of the gallbladder with a great pseudocyst filled with 1800 ml infected bile and with penetration through the abdominal wall.
authors.affiliation: Chirurgische Universitäts- und Poliklinik, RWTH Aachen.
authors.forename: V
authors.initials: V
authors.lastname: Fernandez
authors.forename: C
authors.initials: C
authors.lastname: Töns
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003560:Cysts / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005704:Gallbladder / Q000473:pathology; D005705:Gallbladder Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006555:Hernia, Ventral / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed