Abstract
We report on a case of acute cholecystitis complicating unresectable bile duct cancer. A 77-year-old woman was admitted for stent placement in the common bile duct. After admission, the patient was kept nil by mouth, and treated with antibiotics. However, since the symptoms did not improve, surgery was performed. A small incision was made through the fundus of the gallbladder and a fistula tube was placed in the lumen of the gallbladder; then, 20 days later, cholecystography was performed. From the 21 to 25th postoperative day, absolute ethanol was instilled into the fistula tube, and ablation of the gallbladder was performed. On the 28th postoperative day, the fistulous fistula tube was removed. After discharge from the hospital, the patient showed no signs of recurrence of the acute cholecystitis, and outpatient chemotherapy could be administered for 18 months.
