1995•The journal of the Japanese Practical Surgeon SocietyOpen access
INVESTIGATION OF THE GALLBLADDER CARCINOMA ACCOMPANIED WITH ACUTE CHOLECYSTITIS
Koichi Kubota, Kenichi Kumazawa, Toshinori OHISHI, Toshihiko Hosokawa, Yoshiaki Asami, Shunichi Shiozawa, Nobuyuki Oshibe, Akira Tsuchiya, Shunsuke Haga, Kenji Ogawa, Tetsurou Kajiwara
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Abstract
An investigation was made on the causes and diagnosis in 5 cases of gallbladder carcinoma ac-companied with acute cholecystitis which had different pathosis and causes each other. One case was of acute cholecystitis caused by calculus impaction accompanied with abiogenetic carcinoma without any relationship between the carcinoma and cholecystitis. Of the remaining 4 cases of cholecystitis caused by a gallbladder carcinoma, one case developed acute cholecystitis with an impacted calculus which was accompanied with edema in the neck due to wide-spreading invasion of carcinoma in the main gallbladder; another one case developed acute cholecystitis with occlusion of the cystic duct due to a gallbladder carcinoma arising in the duct; and two cases developed acute cholecystitis, because tumor necrosis tissue due to a gallbladder carcinoma fully occupied the lumen of the gallbladder. The pathosis and causes of cholecystitis were different from each other as mentioned above, and unclear images due to inflammation sometimes disturbed us in making the preoperative diagnosis. Accordingly, it is necessary to carry out careful observation and inspection always with attention to possible complication of carcinoma, even if the image diagnoses exhibit acute cholecystitis.
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