title: Peritoneal bile granulomas identified at Cesarean section and mimicking disseminated malignancy.
abstract: A 37-year-old woman was found to have multiple peritoneal nodules, including on the uterine serosa, at Cesarean section. Histology showed yellow crystalline material surrounded by histiocytes and occasional multinucleate giant cells. Further enquiry revealed that the patient underwent a cholecystectomy for a perforated gallbladder 3 years earlier. Pathologists should be aware of this uncommon complication of bile leakage, which has the potential to clinically mimic disseminated malignancy. This may become increasingly common in the future since bile leakage is more likely to occur with laparoscopic than open cholecystectomy.
authors.affiliation: Department of Pathology, Belfast Health and Social Care Trust, Belfast, Northern Ireland.
authors.forename: Gerard
authors.initials: G
authors.lastname: McVeigh
authors.forename: Mark
authors.initials: M
authors.lastname: McComiskey
authors.forename: W Glenn
authors.initials: WG
authors.lastname: McCluggage
mesh_terms: D000328:Adult; D001646:Bile; D002585:Cesarean Section; D002763:Cholecystectomy / Q000009:adverse effects*; D041881:Cholecystitis, Acute / Q000209:etiology / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000209:etiology / Q000473:pathology*; D006801:Humans; D033162:Incidental Findings; D010532:Peritoneal Diseases / Q000209:etiology / Q000473:pathology*; D010534:Peritoneal Neoplasms / Q000473:pathology; D011247:Pregnancy