A CASE OF EARLY GALLBLADDER CANCER LOCALIZED WITHIN THE ROKITANSKY-ASCHOFF SINUS ASSOCIATED WITH ANOMALOUS CONNECTION OF THE CYSTIC DUCT

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  • SHINKAWA Hiroji
    Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine
  • HAI Seikan
    Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine
  • TANAKA Hiromu
    Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine
  • TAKEMURA Shigekazu
    Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine
  • OHBA Kazuki
    Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine
  • KUBO Shoji
    Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine

Bibliographic Information

Other Title
  • Ｒｏｋｉｔａｎｓｋｙ‐Ａｓｃｈｏｆｆ　ｓｉｎｕｓ内に発生した胆嚢管合流異常を伴う早期胆嚢癌の１例
Published
2007
DOI
  • 10.3919/jjsa.68.2585
Publisher
Japan Surgical Association

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Description

A 76-year-old woman was admitted to our hospital because of recurrent bouts of right hypochondralgia with a gallstone. Abdominal ultrasonography and computed tomography demonstrated a gallstone about 1 cm in diameter with a mildly thickened gallbladder wall. Computed tomography during drip infusion cholangiography showed that the cystic duct had joined to the right posterior hepatic duct. The patient underwent cholecystecomy. Despite the absence of particular findings macroscopically, except for the thickening of the gallbladder wall, on tne operative specimen, a histopathological examination revealed papillary adenocarcinoma localized within the Rokitansky-Aschoff sinus (RAS). This was in part of adenomyomatosis, which was diffusely present on the body and fundus of the gallbladder. This is a rare case of early carcinoma arising from the RAS in adenomyomatosis of the gallbladder associated with an anomalous junction of the cystic duct.

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