Abstract
A 67-year-old female was admitted to our hospital for jaundice. Gallbladder cancer with bile duct infiltration was diagnosed by imaging modalities and PTBD was performed. After jaundice was ameliorated, two partially covered self-expandable metallic stents (C-SEMS) were inserted to both lobes of the liver for biliary drainage. Six months later, she was admitted again for jaundice. Patency of the stents was excellent. However, a new papillary elevated lesion was found at the distal end of the lower common bile duct. Under choledochoscopic guidance, YAG laser ablation was performed on the lesion for recanalization and she was discharged. Six months later, she was re-admitted to our hospital for anemia. Massive genital hemorrhage occurred after admission. Treatment to stop the bleeding was in vain and she died. Autopsy revealed synchronous triple cancer consisted of gallbladder cancer, lower biliary duct cancer, and uterine cervical cancer.
