Gallbladder cancer manifesting as recurrent common bile duct stone and duodenal ulcer bleeding.
Gallbladder cancer (GBC) is an uncommon disease and is usually asymptomatic. Poor prognosis and high mortality rate have been noted in patients with delayed diagnosis. We report a case of locally advanced GBC with duodenum and colon invasion manifesting as bleeding duodenal ulcer and recurrent common bile duct (CBD) stones. The patient was successfully treated with extended surgery. In patients who have multiple recurrence of CBD stones without common risk factors, concomitant biliary tract malignancy should be included in the differential diagnosis.
Tsai
Tzung-Jiun
TJ
Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, and National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
Lai
Kwok-Hung
KH
Hsu
Ping-I
PI
Tsai
Cheng-Chung
CC
Fu
Ting-Ying
TY
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004381:Duodenal Ulcer / Q000209:etiology*; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D042882:Gallstones / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D012008:Recurrence; D014057:Tomography, X-Ray Computed