Open AccessSynchronous gallbladder and pancreatic cancer associated with pancreaticobiliary maljunction
Author(s) -
Narongsak Rungsakulkij
Publication year - 2014
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v20.i39.14500
Subject(s) - medicine , gallbladder , gallbladder cancer , bile duct , bile duct cancer , common bile duct , abdominal ultrasonography , gastroenterology , endoscopic retrograde cholangiopancreatography , pancreatic duct , radiology , pancreatic cancer , cholecystectomy , pancreas , cancer , pancreatitis , ultrasonography
We report the case of a 46-year-old woman who presented with chronic intermittent abdominal pain without jaundice; abdominal ultrasonography showed thickening of the gallbladder wall and dilatation of the bile duct. Endoscopic retrograde cholangiopancreaticography showed pancreatobiliary maljunction with proximal common bile duct dilatation. Pancreatobiliary maljunction was diagnosed. A computed tomography scan of the abdomen showed suspected gallbladder cancer and distal common bile duct obstruction. A pancreatic head mass was incidentally found intraoperative. Radical cholecystectomy with pancreatoduodenectomy was performed. The pathological report showed gallbladder cancer that was synchronous with pancreatic head cancer. In the pancreatobiliary maljunction with pancreatobiliary reflux condition, double primary cancer of the pancreatobiliary system should be awared.