Adenomatous Hyperplasia of the Gallbladder in the Setting of Mirizzi Syndrome, Mimicking Adenocarcinoma of the Gallbladder

Figures & data

Table 1 Laboratory Work-Ups of the Case

Parameters	Preoperative Laboratory Values	Laboratory Values One Month After Laparotomy	Reference Point of MRRH Laboratory
Total bilirubin	8.2 mg/dL	1.3 mg/dL	(0.20–1.30)
Conjugated bilirubin	5.9 mg/dL	1.2 mg/dL	(0.00–0.30)
Unconjugated bilirubin	2.6 mg/dL	0.4 mg/dL	(0.00–0.30)
Alkaline phosphatase	4463 U/L	312 U/L	(64–306)
Alanine transaminase	109.0 U/L	40 U/L	(0–42)
Aspartate transaminase	123.2 U/L	50 U/L	(0–37)
Gamma-glutamyl transferase	120 U/L	64 U/L	(0–55)
Hemoglobin	13 mg/dL	11.4 mg/dL	(9.5–13.5)
White cell count	7.8	10	(5.50–17.00)
Platelets	323	330	(150–400)
International normalized ratio	1.5	1.11	(<1.1) – normal patients not on warfarin
CA 19-9	21 U/mL		0–36
CEA	1.2 ng/mL		<2.5 ng/mL
Sodium	138 mmol/L	Not repeated	(135–145) mmol/L
Potassium	3.7 mmol/L	Not repeated	(3.5–5.5) mmol/L
Chloride	91 mmol/L	Not repeated	(95–105) mmol/L

Abbreviation: MRRH, Mbarara Regional Referral Hospital.

Figure 1 Mucosa consisting of variably sized glands lined by cytologically bland epithelium (A) and proliferated bland glands, with mild chronic inflammatory infiltrates (B).

Figure 2 Lymph node tissue showing increased follicles (black arrow, (A)) and numerous histiocytosis (red arrows, (B)).