Gallbladder perforation associated with carcinoma of the duodenal papilla: a case report

Gallbladder perforation is a rare clinical condition, which mostly occurs following acute cholecystitis associated with cholelithiasis. A tumor of the ampulla of Vater causes gradually progressive symptoms, and is rarely associated with perforation of the gallbladder. A 56-year-old man with carcinom...

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Bibliographic Details
Published in:World journal of surgical oncology 2010-05, Vol.8 (1), p.41-41, Article 41
Main Authors: Hosaka, Akihiro, Nagayoshi, Mikiko, Sugizaki, Katsuyoshi, Masaki, Yukiyoshi
Format: Article
Language:English
Subjects:
Abdominal Pain
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Ampulla of Vater - pathology
Cancer
Carcinoma
Case Report
Cholecystitis
Common Bile Duct Neoplasms - pathology
Common Bile Duct Neoplasms - surgery
Complications and side effects
Development and progression
Duodenum
Endoscopic surgery
Gallbladder - pathology
Gallbladder diseases
Gallbladder Diseases - diagnosis
Gastrointestinal system
Humans
Male
Medical examination
Middle Aged
Pancreaticoduodenectomy
Peritonitis - diagnosis
Rupture, Spontaneous
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Gallbladder perforation is a rare clinical condition, which mostly occurs following acute cholecystitis associated with cholelithiasis. A tumor of the ampulla of Vater causes gradually progressive symptoms, and is rarely associated with perforation of the gallbladder. A 56-year-old man with carcinoma of the ampulla of Vater presented with spontaneous gallbladder perforation and localized bile peritonitis. He complained of right upper abdominal pain, and laparotomy revealed perforation of the gallbladder with no gallstones. Postoperative upper gastrointestinal endoscopy demonstrated a slightly enlarged duodenal papilla, and biopsy revealed adenocarcinoma of the ampulla. Pylorus-preserving pancreaticoduodenectomy was performed subsequently. Ampullary carcinoma can be associated with gallbladder perforation and present with acute manifestations. Immediate surgical treatment is required for this condition.
ISSN:1477-7819
1477-7819
DOI:10.1186/1477-7819-8-41