| A patient with undifferentiated carcinoma of gallbladder presenting with hemobilia. | |
| | |
MedLine Citation:
|
PMID: 10632545 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Hemobilia is relatively rare among hemorrhages in the digestive tract, and hemobilia caused by tumors of the biliary tract is particularly rare. We treated a 74-year-old-man with undifferentiated carcinoma of the gallbladder presenting with hemobilia. During hospitalization for neurogenic bladder at the Department of Urology, he showed progressive anemia. Since hemorrhage in the digestive tract was suspected, endoscopy of the upper gastrointestinal tract was performed, and bleeding from the papilla of Vater was observed. On ultrasound examination, findings were indicative of cholecystic cancer, and hemorrhage from the cystic duct was found on percutaneous transhepatic cholangioscopy. On perioral cholecystoscopy, however, masses of coagulated blood were found only in the gallbladder. Abnormalities such as dense staining of tumors or extravasation were not found on angiography. The patient died of hepatic failure due to rapid invasion of the liver by the tumor, associated with biliary infection and disseminated intravascular coagulation. At autopsy, a nodal tumor was found in the gallbladder, and the cavity of the gallbladder was filled with coagulated masses of blood. Direct invasion of the tumor to the liver, diaphragm, and transverse colon was found. The histopathological diagnosis was undifferentiated carcinoma (pleomorphic large-cell type). |
| | |
Authors:
|
H Kubota; M Kageoka; H Iwasaki; K Sugimoto; R Higuchi; S Honda; F Watanabe; K Koda; H Hanai; E Kaneko |
Related Documents
:
|
3916555 - Gastrointestinal lymphoid neoplasms. 7521845 - Vitronectin in colorectal adenocarcinoma--synthesis by stromal cells in culture. 15516445 - Treatment of endometrial stromal sarcoma with a gonadotropin-releasing hormone analogue. 11005505 - Gastrointestinal stromal tumor of the rectum with activating mutation of c-kit: report ... 7551295 - In situ hybridization analysis of chromogranin a and b mrnas in neuroendocrine tumors w... 20442675 - A giant congenital fibrosarcoma of the leg. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of gastroenterology Volume: 35 ISSN: 0944-1174 ISO Abbreviation: J. Gastroenterol. Publication Date: 2000 |
Date Detail:
|
Created Date: 2000-01-27 Completed Date: 2000-01-27 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9430794 Medline TA: J Gastroenterol Country: JAPAN |
Other Details:
|
Languages: eng Pagination: 63-8 Citation Subset: IM |
Affiliation:
|
Department of Gastroenterology, Fujieda Municipal General Hospital, Surugadai, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Carcinoma / complications*, pathology Gallbladder / pathology Gallbladder Neoplasms / complications*, pathology Hemobilia / etiology* Humans Male Neoplasm Invasiveness |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ineffective interferon treatment of chronic hepatitis C-associated porphyria cutanea tarda, but with...
Next Document: Non-invasive diagnostic assessment of extensive vertebral artery tortuosity with enlargement of the ...