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[Carcinoma of the gallbladder which progress on the mucosa of choledochocolonic fistula].
[carcinoma of the gallbladder]
A
70
-
year
-old
man
was
admitted
to
our
hospital
for
further
examination
of
pneumobilia
and
atrophy
in
the
gallbladder
.
Abdominal
CT
scan
and
EUS
revealed
that
the
atrophic
gallbladder
was
occupied
by
a
tumor
lesion
.
In
addition
,
ERCP
showed
choledochocolonic
fistula
.
Colonoscopy
revealed
an
elevated
lesion
in
the
colonic
side
of
fistula
,
and
biopsy
of
the
elevated
lesion
revealed
adenocarcinoma
.
Cholecystectomy
and
right
hemicolectomy
was
performed
under
a
preoperative
diagnosis
of
gallbladder
carcinoma
with
choledochocolonic
fistula
.
Pathologically
,
most
of
the
tumor
was
localized
in
the
gallbladder
,
and
grew
along
the
mucosa
of
choledchocolonic
fistula
.
This
case
was
of
interest
with
regard
to
the
relationship
between
the
choledochocolonic
fistula
and
gallbladder
carcinoma
.
