title: Laparoscopic cholecystectomy: incidental carcinoma of the gallbladder with abdominal wall and axillary node metastasis.
abstract: A case report is presented of intra-mural gallbladder carcinoma discovered incidentally after laparoscopic cholecystectomy who subsequently developed abdominal wall recurrence at the epigastric exit port, and axillary lymph node metastases. Possible preventative steps for tumour dissemination and a management plan if incidental carcinoma is diagnosed is discussed. The use of a non-porous retrieval bag, early recognition of the carcinoma and excision of the exit wound are advocated.
authors.affiliation: Department of Surgery, University of Wales College of Medicine, Heath Park, Cardiff.
authors.forename: R C
authors.initials: RC
authors.lastname: Johnson
authors.forename: L J
authors.initials: LJ
authors.lastname: Fligelstone
authors.forename: M H
authors.initials: MH
authors.lastname: Wheeler
authors.forename: K
authors.initials: K
authors.lastname: Horgan
authors.forename: T S
authors.initials: TS
authors.lastname: Maughan
mesh_terms: D000009:Abdominal Muscles / Q000473:pathology*; D000230:Adenocarcinoma / Q000473:pathology*; D001365:Axilla; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005706:Gallbladder Neoplasms / Q000473:pathology*; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009366:Neoplasm Seeding