D. MARGARITESCU, D. CARTU, V. SURLIN, E. GEORGESCU

Clinica Chirurgie I, Spitalul Judeţean de Urgenta Craiova, UMF Craiova

REZUMAT

Lucrarea prezinta un caz de carcinom al veziculei biliare complicat cu hemobilie la o pacienta de 61 ani. Explorarile imagistice au precizat diagnosticul preoperator si asocierea cu litiaza veziculara. Interventia chirurgicala a constat in colecistectomie radicala asociata cu excizie partiala de perete de coledoc si coledocorafie pe tub Kehr. Anatomopatologic aspect de adenocarcinom papilar bine diferentiat. Evolutie postoperatorie simpla. Raritatea tumorilor de vezicula biliara si in special a celor complicate cu hemobilie au constituit particularitatile cazului.

CUVINTE CHEIE cancer de vezicula biliara, hemobilie, litiaza veziculara

Gallbladder cancer with uncommon complication. Case report. Literature review

ABSTRACT

This paper present a case of gall bladder carcinoma complicated with hemobilia in a 61 year old patient. Imagistic explorations determine the preoperator diagnosis and the association with gall bladder stone. Surgery consist in radical colecistectomy associated with partial excision of the common bile duct wall and bile duct suture on Kehr tube. Anatomopathology aspect is of papillar adenocarcinoma well differentiated. Simple posoperatory evolution. The particularity of this case consist in the infrequency of gall bladder tumors and in special of ones with hemobilia.

KEY WORDS gallbladder cancer, hemobilia, gallbladder stone