Keimyung Med J.  2016 Jun;35(1):39-43. 10.0000/kmj.2016.35.1.39.

Squamous Cell Carcinoma of the Gallbladder Presenting with a Cholecystoduodenal Fistula

Affiliations
  • 1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. smild123@yonsei.ac.kr
  • 2Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

Gallbladder cancer (GBC) is the most common primary hepatobiliary carcinoma and the sixth most common gastrointestinal malignancy. Adenocarcinoma accounts for the vast majority of GBCs (80-95%), whereas squamous cell carcinoma constitutes only 0-3.3% of GBCs. A 69-year-old man was suspected to have GBC with a cholecystoduodenal fistula on an abdominal computed tomography scan. He underwent esophagogastroduodenoscopy, which revealed that the duodenum was obstructed by the mass. Duodenal and biliary stents were successfully placed using endoscopic retrograde cholangiopancreatography. Pathology obtained from the duodenum revealed the mass to be a squamous cell carcinoma.

Keyword

Cholecystoduodenal fistula; Endoscopic retrograde cholangiopancreatography; Gallbladder; Squamous cell carcinoma

MeSH Terms

Adenocarcinoma
Aged
Carcinoma, Squamous Cell*
Cholangiopancreatography, Endoscopic Retrograde
Duodenum
Endoscopy, Digestive System
Epithelial Cells*
Gallbladder Neoplasms
Gallbladder*
Humans
Intestinal Fistula*
Pathology
Stents
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