1990 Volume 51 Issue 7 Pages 1557-1561
A 71-year-old female was referred to our hospital with the complaint of right lower abdominal pain. Abdominal X-ray examination proved pneumobilia. Ultrasonography revealed a wall thickness of the gallbladder and irregular mass. Gastroendoscopy revealed the open position of fisutula. Upper gastrointestinal series revealed fistulas at the pars descendens duodeni and common bile duct, of Which open positions were confirmed by gastroendoscopy.
Operation was done on January 12th in 1989, and choledocho-duodenal and choledocho-colic fistula were found. Cholecystectomy and colectomy were performed.
On microscopic findings a gallbladder cancer was found, which was well differentiated adenocarcinoma, and invaded the subserosa.
We can find out no malignancy in the fistulas. Five cases of gallbladder cancer with choledocho-duodenal and choledocho-colic fistulas repeated in Japan, were also reviewed.