A Case Report of Hepatocellular Carcinoma Invading into Gall Bladder

Kyohei Kai, Shizou Satoh, Youichi Sibuya, Takatoshi Yamada, Akira Nakashima, Shinji Ishizuka, Masanori Aoyama, Akira Nakashima and Akira Nabeyama

Department of Surgery, Himeji Red Cross Hospital

We encountered a case of hepatocellular carcinoma that had invaded the gallbladder in which intraluminal bleeding caused acute abdominal pain. A 60-year-old man who was found to have an abnormal low density area on computed tomography was referred to our hospital for abdominal pain. Several examinations suggested that a gallbladder tumor had invaded the liver parenchyma and caused bleeding. Resection of gallbladder, antrum of the somach, and segment 4a and 5 in Couinaud's classification was performed. Histopathological examination showed poorly differentiated hepatocellular carcinoma. The patient died of liver failure due to multiple hepatic recurrence 54 days after the operation. To our knowledge, there are seven reported cases of hepatocellular carcinoma invaded the gallbladder. And their prognosis was poor.

Key words
hepatocellular carcinoma, gallbladder invasion, bleeding

Reprint requests
Kyohei Kai Department of Surgery, Himeji Red Cross Hospital 5301-1 Tatsuno-cho, Himeji-city, 670-0032 JAPAN

Accepted
April 25, 2001

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