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Carcinoma gall bladder presenting as hemobilia
A John1, T M Ramachandran, S Ashraf
1Department of Gastroenterology, Calicut Medical College, Kozhikode.
Summary
A 60-year-old man experienced recurrent gastrointestinal bleeding due to gall bladder cancer. Surgical removal of the gall bladder confirmed papillary adenocarcinoma, a rare but treatable condition.
Area of Science:
- Gastroenterology and Oncology
- Surgical Pathology
Background:
- Gall bladder adenocarcinoma is a rare malignancy.
- Recurrent gastrointestinal bleeding can be a presenting symptom.
Observation:
- A 60-year-old male presented with severe melena and anemia, necessitating transfusions.
- Endoscopy revealed active bleeding from the ampulla of Vater.
- Imaging suggested a gall bladder mass.
Findings:
- Laparotomy confirmed a gall bladder mass confined to the lumen.
- Histopathology diagnosed papillary adenocarcinoma of the gall bladder.
- Tumor invasion extended to the muscularis propria.
Implications:
- Early diagnosis and surgical intervention are crucial for gall bladder adenocarcinoma.
- Ampullary bleeding can be an unusual presentation of gall bladder malignancy.
- This case highlights the importance of thorough investigation for obscure gastrointestinal bleeding.