For citation purposes: Ogu US, Caganap S, Badr AS, Bloch RS. Metastatic transitional cell cancer of the gall bladder presenting as acute cholecystitis: a rare phenomenon. OA Surgery 2013 Dec 01;1(1):4.

Case report

 
Upper GI Surgery

Metastatic transitional cell cancer of the gall bladder presenting as acute cholecystitis: a rare phenomenon

US Ogu, S Caganap, AS Badr, RS Bloch
 

Authors affiliations

(1) Easton Hospital Department of Surgery, Easton, Pennsylvania, USA 18042

(2) University of California San Francisco Department of Neurology, San Francisco, California, USA 94143

* Corresponding author Email: ogustanley@hotmail.com

Abstract

Introduction

Metastatic involvement of the gallbladder is extremely uncommon. We present a first-in-literature report on a 79-year-old male who presented with acute cholecystitis secondary to metastatic transitional cell carcinoma from the urinary bladder to the gall bladder.

Case Report

A 79-year-old male with a history of bladder cancer, presented with right upper quadrant pain and a positive Murphy’s sign on physical examination. He was diagnosed with acute cholecystitis and underwent a laparoscopic cholecystectomy. Pathologic examination revealed a poorly differentiated, infiltrative tumour, most consistent with metastatic bladder carcinoma.

Conclusion

This case report serves to remind internists and surgeons to consider metastatic disease as the aetiology of acute cholecystitis in patients with a history of cancer. Also, oncologists, radiologists and urologists need to be aware of this rare presentation of bladder cancer metastasis in order to focus some attention on the biliary tree in follow-up scans of these patients.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
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