Abstract
A 73-year-old woman who complained of the right hipochodrium pain came to our hospital. There were peritoneal irritation on the right hipochodrium. Abdominal CT showed a debris like lesion in the swelled gallbladder. We made a diagnosis of acute cholecystitis, and we pricked gallbladder with needle for the purpose of PTGBD. We did aspiration biopsy, because the part like debris was a tumor. The result of aspiration biopsy was gallbladder cancer. After 19 days of the hospitalization, we performed partial hepatectomy with the gallbladder, resection of the bile duct, partial resection of the trasverse colon and lymphnode resection (D2). Pathological diagnosis was undifferentiated carcinoma. The patient was early complicated by respiratary failure after the operation. We made a diagnosis of lung edema with pnuemonia and treated the patient, but the patient did not react for the treatment, and died after 34 days of the operation. Because tumor maker rose rapidly after the operation and aspiration biopsy of the lung after death was Class IIIb, we suspected the lung metastasis.
