A Rescted Case of Mucinous Cystadenocarcinoma of the Gallbladder Recurred after Laparoscopic Cholecystectomy

Junichi Takamizawa, Susumu Fujioka, Kenji Kato, Yuuichi Machiki, Yasushi Kutsuna, Akira Ishikawa and Katsue Yoshida*

Departments of Surgery and Pathology*, Kiryuu Kousei General Hospital

A 49-year-old woman from Bolivia undergoing laparoscopic cholecystectomy on October 27, 1997, at another hospital was pathohistologically diagnosed with chronic gallbladder inflammation. From December 1998, right upper abdominal pain appeared and was treated as liver abscess at another hospital. Right upper abdominal pain continued and an abdominal wall mass was found, so she admitted to our hospital on July 26,1999. Computed tomografhy (CT) showed solid and multicystic tumor in the gallbladder bed 8cm in diameter. Surgery on August 11 showed the tumor centering on the gallbladder bed had invaded the first portion of the duodenum and transverse colon. Four cystic tumors were found in the omental, abdominal cavity and under the abdominal wall of a preveous surgical scar, necessitating gallbladder bed, stomach, duodenum, and transverse colon excision, and abdominal wall extraction. Postoperative pathology showed all tumor to be mucinous cystadenocarcinoma. After reexaminatiom of resected specimens from the first operation, the same mucinous cystadenocarcinoma was found in part and, yielding a diagnosis of recurrence from the mucinous cystadenocarcinoma of the gallbladder to gallbladder bed, abdominal cavity, and under the abdominal wall.

Key words
laparoscopic cholecystectomy, mucinous cystadenocarcinoma of the gallbladder, recurrence of gallbladder cancer

Reprint requests
Junichi Takamizawa Department of Surgery, Division of Surgical Oncology, Nagoya University Graduate School of Medicine 65 Tsurumaicho, Showaku, Nagoya, 466-8550 JAPAN

Accepted
October 30, 2002

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