Isolated Metachronous Intraluminal Colonic Metastasis in Carcinoma Gall Bladder: The Path Less Trodden

Gallbladder cancer (GBC) is characterized by late presentation, early systemic spread, and poor long-term survival. A 65-year-old woman presented with isolated intraluminal colonic metastasis 46 months after radical surgery for GBC. The patient also underwent subtotal cholecystectomy 12 years before the diagnosis of GBC. In view of gastrointestinal bleeding, the patient underwent laparoscopic transverse colectomy with colocolic anastomosis. Metachronous isolated intraluminal colonic metastasis is being reported for the first time in English literature. The possible routes of colonic metastasis and its optimum management in the metachronous setting are discussed in this report.