A RARE CASE: PRIMARY MUCINOUS CYSTIC NEOPLASM OF THE GALLBLADDER/SAFRA KESESININ PRIMER MUSINOZ KISTIK NEOPLAZMI: NADIR BIR VAKA

Cystic lesions originating from the gallbladder are very rare. Mucinous cystic neoplasms of the liver and biliary system principally occur in the liver, followed by the extrahepatic biliary system. Only a few case reports were reported primarily in the gallbladder. A 63-year-old woman was admitted to our hospital with complaints of pain in the right upper abdomen, Increasing after meals, and abdominal discomfort. A laparoscopic cholecystectomy was performed. Macroscoplcally, the cyst was localized in the serosa of the fundus. Based on immunohistochemical examination, the cyst was diagnosed as primary mucinous cystic neoplasia of the gallbladder. Although it is very rare, mucinous cystic neoplasia should be kept in mind when dealing with cystic lesions of the gallbladder. Due to serious associated problems such as the risk of malignant transformation or bile duct obstruction, particularly in larger cysts, a cholecystectomy is mandatory. Keywords: Cholecystectomy, gallbladder, mucinous cystic neoplasia Safra kesesinden kaynaklanan kistik lezyonlar oldukca nadirdir. Hepato-bilier sisteminin musinoz kistik neoplazileri esas olarak karacigerde meydana gelir ve bunu ekstrahepatik billyer sistem Izler. Primer olarak safra kesesi tutulumu olan sadece birkac vaka rapor edilmistir. Karin sag ust tarafta yemek sonrasi artan karin agrisi ve dispepsi sikayetleri olan 63 yasinda kadin hasta hastanemize basvurdu. Laparoskopik koleslstektoml yapildi. Makroskopik olarak kist fundusun serozasinda lokalize edildi ve immunohistoklmyasal inceleme neticesine gore safra kesesinin primer musinoz kistik neoplazisi olarak degerlendirildi. Her ne kadar cok nadir gorulse de, safra kesesinin kistik lezyonlarinda musinoz kistik neoplaziler mutlaka akilda tutulmalidir. Boyle hastalarda malign transformasyon ve ozellikle daha buyuk kistlerde safra kanali tikanikligi gibi riskler nedeniyle koleslstektomi yapilmasi zorunludur. Anahtar Kelimeler: Kolesistektomi, safra kesesi, musinoz kistik neoplazi