tailieunhanh - Báo cáo khoa học: "Gallbladder perforation associated with carcinoma of the duodenal papilla: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Gallbladder perforation associated with carcinoma of the duodenal papilla: a case report | Hosaka et al. World Journal of Surgical Oncology 2010 8 41 http content 8 1 41 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Ga llbladder perforation associated with carcinoma of the duodenal papilla a case report Akihiro Hosaka Mikiko Nagayoshi Katsuyoshi Sugizaki and Yukiyoshi Masaki Abstract Background Gallbladder perforation is a rare clinical condition which mostly occurs following acute cholecystitis associated with cholelithiasis. A tumor of the ampulla of Vater causes gradually progressive symptoms and is rarely associated with perforation of the gallbladder. Case Presentation A 56-year-old man with carcinoma of the ampulla of Vater presented with spontaneous gallbladder perforation and localized bile peritonitis. He complained of right upper abdominal pain and laparotomy revealed perforation of the gallbladder with no gallstones. Postoperative upper gastrointestinal endoscopy demonstrated a slightly enlarged duodenal papilla and biopsy revealed adenocarcinoma of the ampulla. Pyloruspreserving pancreaticoduodenectomy was performed subsequently. Conclusion Ampullary carcinoma can be associated with gallbladder perforation and present with acute manifestations. Immediate surgical treatment is required for this condition. Background Gallbladder perforation GBP is a rare but life-threatening condition which usually requires immediate surgical intervention. Most cases are complicated by acute cholecystitis associated with cholelithiasis 1 although acute acalculous cholecystitis or intramural vessel thrombosis can sometimes lead to GBP 2 3 . A tumor of the ampulla of Vater causes gradually progressive symptoms such as jaundice or weight loss and rarely presents with acute manifestations 4-6 . In this report we describe a case of ampullary carcinoma presenting with acute development of GBP and bile peritonitis and discuss the clinical features of the disease. Case Presentation A 56-year-old man was referred to our hospital with right .