Hemoperitoneum from Spontaneous Rupture of a Metastatic Abdominal Lymph Node in Gallbladder Cancer: A Case Report

Gallbladder (GB) cancer is asymptomatic in nature, making diagnosis and treatment difficult. The lymph node status is the strongest predictor of long-term survival for patients with GB cancer, and a complete removal of regional lymph nodes is important for patients undergoing radical resection of GB...

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Published inThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Vol. 69; no. 1; p. 79
Main Authors Choi, Young Min, Jeong, Seung Uk, Jwa, Hye Young, Choi, Eun Kwang, Kim, Min Jung
Format Journal Article
LanguageKorean
Published Korea (South) 25.01.2017
Subjects
Aged
Cholecystectomy
Female
Gallbladder Neoplasms - diagnostic imaging
Gallbladder Neoplasms - pathology
Hemoperitoneum - diagnosis
Hemoperitoneum - etiology
Hemoperitoneum - surgery
Humans
Lymph Nodes - diagnostic imaging
Lymphatic Metastasis
Positron-Emission Tomography
Rupture, Spontaneous
Tomography, X-Ray Computed
Hemoperitoneum
Rupture
Gallbladder cancer
Nodes
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Summary:Gallbladder (GB) cancer is asymptomatic in nature, making diagnosis and treatment difficult. The lymph node status is the strongest predictor of long-term survival for patients with GB cancer, and a complete removal of regional lymph nodes is important for patients undergoing radical resection of GB cancer. Unfortunately, lymph node metastases are common in the early stages of GB cancer. However, there have only been a few cases describing the symptoms or complications of metastatic lymph nodes in patients with GB cancer. Although hemoperitoneum caused by metastatic lymph nodes can occur with several cancers, it is very rare. To the best of our knowledge, hemoperitoneum from spontaneous ruptures of metastatic lymph nodes with GB cancer has not yet been reported. Herein, we describe such a case in a patient newly diagnosed with GB cancer.
ISSN:2233-6869