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Keimyung Medical Journal 2016;35(1):39-43.
Published online June 22, 2016.
Squamous Cell Carcinoma of the Gallbladder Presenting with a Cholecystoduodenal Fistula.
Seung Kook Cho, Young Bean Ko, Soon Chang Park, Sang Jun Lee, Jae Hyun Kim, Mee Yon Cho, Jae Woo Kim, Kyong Joo Lee
1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. smild123@yonsei.ac.kr
2Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.
Abstract
Gallbladder cancer (GBC) is the most common primary hepatobiliary carcinoma and the sixth most common gastrointestinal malignancy. Adenocarcinoma accounts for the vast majority of GBCs (80–95%), whereas squamous cell carcinoma constitutes only 0–3.3% of GBCs. A 69-year-old man was suspected to have GBC with a cholecystoduodenal fistula on an abdominal computed tomography scan. He underwent esophagogastroduodenoscopy, which revealed that the duodenum was obstructed by the mass. Duodenal and biliary stents were successfully placed using endoscopic retrograde cholangiopancreatography. Pathology obtained from the duodenum revealed the mass to be a squamous cell carcinoma.
Key Words: Cholecystoduodenal fistula, Endoscopic retrograde cholangiopancreatography, Gallbladder, Squamous cell carcinoma
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