2021 Volume 35 Issue 1 Pages 100-105
A 70-year-old man undergoing chemotherapy for gallbladder cancer was admitted for cholangitis due to bile duct stent occlusion. On CT, there was a gallbladder-colonic fistula, which formed a mass abscess with the tumor, and the content was like stool with gas. The patient was diagnosed with cholangitis and abscess formation, and it was considered that gallbladder cancer invaded the transverse colon, the internal pressure of the oral-side was increased, and a gallbladder-colonic fistula was formed.
Biliary drainage was preceded, and then a large intestine stent was placed in the transverse colon to reduce the pressure. The abscess disappeared and he was discharged to his home on the 20th day of after admitted. In unresectable advanced gallbladder cancer with no prognosis, colonic stent placement for internal bile fistula secondary to colonic invasion could be one of the treatments for infection control.
