GB STONE like TARGET SIGN at the BORDER of LIVER with the PARALLE SIGN of INTRAHEPATIC BILIARY TREE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

AN 82 YO MALE PATIENT WITH EPIGASTRIC PAIN. ABDOMINAL ULTRASOUND DETECTED ONE OVOID MASS LIKE TARGET SIGN AT THE BORDER OF LIVER WITH THE PARALLE SIGN OF INTRAHEPATIC BILIARY TREE. SONOLOGIST SUSGESTED A COLON TUMOR AND PREFER COLONOSCOPY.

MSCT OF ABDOMEN: THE BILIARY SYSTEM IS DILATED AND A GALLBLADDER STONE. NO COLON TUMOR.

ERCP CONFIRMED  ODDIE SPHINCTER STENOSIS AND STONE IN CBD WHICH WAS REMOVED VIA ENDOSCOPY.

SUMMARY: SOMETIMES STONE IN GALLBLADER LOOKS LIKE A TARGET, MIMICKING  A COLON CANCER. MSCT IS IMAGING MODALITY OF CHOICE AND, FOR THIS CASE , ERCP PLAYED A BEST ROLE IN DIAGNOSIS AND RESOLVING THE PATIENT COMPLAINT.