Endoscopy 2020; 52(S 01): S296
DOI: 10.1055/s-0040-1704942
ESGE Days 2020 ePoster presentations
Colon and rectum 09:00–17:00 Thursday, April 23, 2020 ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

DUODENAL CHOLECYST FISTULA: UNUSUAL PRESENTATION OF GALLBLADDER CANCER

R Palos-Cuéllar
1   Instituto Mexicano del Seguro Social, Servicio de Endoscopia, Ciudad de México, Mexico
,
OVH Mondragon
1   Instituto Mexicano del Seguro Social, Servicio de Endoscopia, Ciudad de México, Mexico
,
EM Perez
1   Instituto Mexicano del Seguro Social, Servicio de Endoscopia, Ciudad de México, Mexico
,
GB Velasco
2   Instituto Mexicano del Seguro Social, Servicio de Endoscopia Gastrointestinal, Ciudad de México, Mexico
,
RA Zamarripa Mottu
2   Instituto Mexicano del Seguro Social, Servicio de Endoscopia Gastrointestinal, Ciudad de México, Mexico
,
OMS Pineda
2   Instituto Mexicano del Seguro Social, Servicio de Endoscopia Gastrointestinal, Ciudad de México, Mexico
,
AM Bautista
2   Instituto Mexicano del Seguro Social, Servicio de Endoscopia Gastrointestinal, Ciudad de México, Mexico
,
PMS Hernandez
2   Instituto Mexicano del Seguro Social, Servicio de Endoscopia Gastrointestinal, Ciudad de México, Mexico
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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80 year-old female was sent to our service for obstructive jaundice. Began 6 months ago with: abdominal pain, jaundice, dark urine, weight loss of 8 kg. Total bilirubin 7 umol/L. Abdominal ultrasound: common bile duct 12 mm.

ERCP duodenal stenosis, Cavity with bile-like material and purulent content was observed. Biopsies were taken.

Abdominal CT scan Abscessed vesicular neoplasia.

Histopathological report Well-differentiated adenocarcinoma of the gallbladder.

Conclusions Gallbladder cancer is an uncommon disease, early diagnosis is essential for improved prognosis; however, indolent and nonspecific clinical presentations like this clinical case leads to missdiagnosis.