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Unexpected bile duct carcinoma presenting with port‐site metastasis after laparoscopic cholecystectomy for cholecystolithiasis
Author(s) -
Sakata Naoaki,
Suzuki Masanori,
Shibuya Kazuhiko,
Takeda Kazunori,
Matsuno Seiki
Publication year - 2002
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340200064
Subject(s) - medicine , cholecystectomy , bile duct , endoscopic retrograde cholangiopancreatography , bile duct carcinoma , gallbladder , metastasis , adenocarcinoma , carcinoma , general surgery , cholangiography , abdominal cavity , radiology , surgery , cancer , pancreatitis
On March 1, 1999, a 71‐year‐old woman was diagnosed as having cholecystolithiasis, for which she underwent laparoscopic cholecystectomy at a local hospital. Intraoperative cholangiography was not performed. No malignant lesion was detected in the gallbladder. In March 2000, a subcutaneous tumor was pointed out at the port site in her abdomen, and resected. Histological examination revealed metastatic adenocarcinoma. On detailed examination, endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor, about 2 cm in diameter, in the lower bile duct. On June 1, she underwent pylorus‐preserving pancreatoduodenectomy at our institute, and several disseminated lesions were detected at the port site and in the abdominal cavity. There have been few reports of bile duct carcinoma that developed peritoneal dissemination caused by leakage of bile during cholecystectomy. Leakage of bile should be prevented during laparoscopic cholecystectomy, even in patients not diagnosed as having cancer preoperatively.