Emergency surgery for acute cholecystitis associated with cholecystocolonic fistula caused by gallbladder cancer: a case report

被引：2
|
作者：
Sunakawa, Taiki [1 ]
Ko, Kenju [1 ]
Moriyasu, Ryo [1 ]
Nishida, Yasunori [1 ]
Otagiri, Noriaki [1 ]
Tauchi, Katsunori [1 ]
机构：
[1] Aizawa Hosp, Dept Surg, 2-5-1Honjo, Matsumoto, Nagano, Japan
来源：
JOURNAL OF SURGICAL CASE REPORTS | 2020年 / 09期
关键词：
D O I：
10.1093/jscr/rjaa305
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Preoperative diagnosis of cholecystocolonic fistula (CCF) is difficult and the contribution of gallbladder cancer or colon cancer is unclear when there is associated malignancy. We present a case that was diagnosed with acute cholecystitis associated with CCF bymultidetector computed tomography (MDCT) preoperatively and malignant neoplasm during emergency surgery. She was finally diagnosed with gallbladder cancer after the operation and underwent a two-stage surgery for regional lymph node dissection. Gallbladder cancer can be a primary malignant cancer causing CCF, whereas MDCT is useful for preoperative diagnosis of CCF. A treatment plan in consideration of gallbladder cancer is advisable for CCF associated with malignant tumor.
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页数：3
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