A case of gallbladder carcinoma with subserosal invasion presenting as gallstone ileus

DOI 6 Citations 16 References
  • NAKAMURA Tomoki
    Department of Surgery, Tokai University School of Medicine Oiso Hospital
  • OHTANI Yasuo
    Department of Surgery, Tokai University School of Medicine Oiso Hospital
  • HINOKI Tomoya
    Department of Surgery, Tokai University School of Medicine Oiso Hospital
  • TAJIMA Takayuki
    Department of Surgery, Tokai University School of Medicine Oiso Hospital
  • MUKAI Masaya
    Department of Surgery, Tokai University School of Medicine Oiso Hospital
  • NAKAZAKI Hisao
    Department of Surgery, Tokai University School of Medicine Oiso Hospital
  • IMAIZUMI Tosihide
    Department of Surgery, Tokai University School of Medicine
  • MAKUUCHI Hiroyasu
    Department of Surgery, Tokai University School of Medicine

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Other Title
  • 胆石イレウス発症を契機に発見されたss胆嚢癌の1例

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Abstract

We encountered a case of gallbladder carcinoma with subserosal invasion that presented as gallstone ileus, and report it here with a literature review. The patient was a 79-year-old man. He consulted another hospital with chief complaints of vomiting and abdominal pain. After emergency admission, he failed to improve with conservative management, so he transferred to our hospital on October 21,2003. We inserted an ileus tube, and recognized a bird's beak sign in the small intestine. Therefore, an emergency operation was done under the diagnosis of intussusception. A hard mass that entered the ileocecal valve with 100 cm of small intestine was detected at operation, and this lesion was resected. A gallstome with a diameter of 4 × 2.8 cm was found in the resected specimen. We also performed cholecystectomy and placed an ()mental patching after trimming the wall of the duodenum to close a cholecystoduodenal fistula. Postoperative pathological examination of the resected material gave a diagnosis of carcinoma of the gallbladder. We have followed up this patient because of his old age and ischemic heart disease, although we suggested an additional operation.

Journal

  • Tando

    Tando 19 (5), 583-589, 2005

    Japan Biliary Association

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