Watahiki Moeka, Kaneko Junichi, Kiuchi Ryota, Suzuki Daijiro, Kosugi Toshikatsu, Kusama Daisuke, Tamakoshi Hiroki, Niwa Tomoyuki, Takinami Masaki, Tsuji Atsushi, Nishino Masafumi, Takahashi Yurimi, Jindo Osamu, Fukazawa Atsuko, Sasada Yuzo, Yamada Takanori, Sakaguchi Takanori
Department of Gastroenterology, Iwata City Hospital.
Department of Gastrointestinal Surgery, Iwata City Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2024;121(6):505-513. doi: 10.11405/nisshoshi.121.505.
A 68-year-old female patient was referred to our hospital with acute cholangitis. Computed tomography revealed common bile duct dilatation, gallbladder fundal tumor, and gallbladder wall thickening attached to the tumor. Cholangiography revealed pancreaticobiliary maljunction with biliary dilation. The patient was diagnosed with pancreaticobiliary maljunction with biliary dilation and gallbladder cancer and underwent liver S4b+5 and bile duct resection and reconstruction. Pathological results revealed that the gallbladder fundal tumor included sarcoma, and the gallbladder wall thickening had adenocarcinoma;thus, the patient was diagnosed with gallbladder carcinosarcoma.
