Abstract | BACKGROUND: CASE PRESENTATION: A 74-year-old Korean woman visited our hospital with abdominal pain. Her past medical history included cholecystectomy for acute cholecystitis with gallstones 10 years previously. Imaging of the abdomen demonstrated inflammation of the remnant cystic duct with multiple impacted stones. Complete removal of the remnant cystic duct with stones was performed. The pathologic report showed severe inflammation with abscess formation and an unexpected adenocarcinoma that appeared to invade the perimuscular connective tissue. The second operation (confirmation of the resection margin of the remnant cystic duct, wedge resection of the liver, and lymphadenectomy) was performed due to suspicion of pT2. There were no cancer cells in the resection margin of the remnant cystic duct, liver, or lymph nodes (0/6). The final histopathological diagnosis was pT2N0M0. She recovered without any complications. The patient is still living 1 year after surgery without recurrence or metastasis. CONCLUSIONS:
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Authors | Jae Hyuk Do, Yoo Shin Choi, Eun Young Ze |
Journal | BMC gastroenterology
(BMC Gastroenterol)
Vol. 14
Pg. 175
(Oct 06 2014)
ISSN: 1471-230X [Electronic] England |
PMID | 25287623
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adenocarcinoma
(diagnosis)
- Aged
- Bile Duct Neoplasms
(diagnosis)
- Cholangiopancreatography, Magnetic Resonance
- Cholecystectomy
- Cystic Duct
(pathology)
- Female
- Humans
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