A rare case of qall bladder duplication with gallbladder carcinoma causing Gastric outlet obstruction

Gall bladder duplication as described above

Massive distension of the gall bladder and its outpouching with marked irregular enhancing wall thickening demonstrating proliferative changes and multiple mucosal defects /ulcerations with pericholecystic mesenteric fat stranding – suggestive of chronic acalculous cholecystitis with mucosal proliferation and impending rupture.

Marked focal proliferative changes at the neck of gall bladder outpouching – of high concern for *neoplastic transformation .

A few marginally enlarged periportal lymphnodes.

Normal CBD, CHD with minimal dilatation of the central IHBR without ductal calculus

Features suggestive of partial gastric outlet obstruction due to extrinsic compression of gastric antrum caused by the duplicated portion of gallbladder of the gastric antrum.

Grade II prostatomegaly with median lobe hypertrophy indenting bladder base

Status post right nephrectomy