A CASE OF ANOMALOUS ARRANGEMENT OF THE PANCREATICOBILIARY DUCT SYSTEM WITH GALLBLADDER CANCER, PERIPHERAL CHOLANGITIS AND INFLAMMATORY PSEUDOTUMOR IN THE SPLEEN

Abstract

We experienced a rare case of anomalous arrangement of the unexpanded pan-creaticobiliary duct system with gallbladder cancer and inflammatory pseudotumor in the spleen. A 62-year-old woman was admitted to our hospital because of right hypochondral-gia. Endoscopic retrograde cholangiopancreatography revealed anomalous arrangement of the pancreaticobiliary duct system with unexpanded common bile duct and gallbladder tumor. Abdominal ultrasonography showed low echoic lesions in the liver and heter-ogenous mass in the spleen. Cholecystectomy, splenectomy and partial liver resection was performed. Histological findings revealed gallbladder cancer (well differentiated adenocar-cinoma papillare), peripheral cholangitis, iuf lammatory pseudotumor of the spleen.