Transmural invasion of hepatic flexure of colon causing cholecystocolic fistula by aggressive gallbladder carcinoma

World Journal of Surgical Oncology

BabuNandan Maurya¹  Samir Rana¹  Satendra Kumar²  Amit Nandan Dhar Dwivedi¹ 

[1] Department of Radiodiagnosis and Imaging, Institute of Medical Science, Banaras Hindu University, Varanasi, 221005, India;Department of General Surgery, Institute of Medical Science, Banaras Hindu University, Varanasi, 221005, India

关键词: Multidetector CT;    Gallbladder carcinoma;    Cholecystocolic fistula;   

Others  :  825644
DOI  :  10.1186/1477-7819-11-86

 received in 2012-12-28, accepted in 2013-03-25,  发布年份 2013

【 摘 要 】

Spontaneous enterobiliary fistulae are a complication of biliary disease or a disease of adjacent structures. Cholecystocolic fistulae are rare in relation to gallbladder carcinoma (GBC). Previous reports have presented images showing subtle findings suggestive of cholecystocolic fistula. We report the unusual spread and rare images of a case of cholecystocolicfistula,to highlight the aggressive nature of GBC and findings of gross transmural invasion of the colonic wall. The images acquired in all three planes define the anatomical and pathological extent conclusively. There are a higher number of GBC cases across the geographic belt of North India compared to the West. In this case, the patient’s pathology was extensive and unresectable, and therefore palliative and supportive care wasadvised.

【 授权许可】

   
2013 Dwivedi et al.; licensee BioMed Central Ltd.

【 图 表 】

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