Carcinoma gall bladder presenting as hemobilia
John, A.; Ramachandran, T.M.; Ashraf, S.; Nair, M.S.; Devi, R.S.
Indian Journal of Gastroenterology Official Journal of the Indian Society of Gastroenterology 18(2): 88-89
1999
ISSN/ISBN: 0254-8860 PMID: 10319544 Document Number: 508618
A 60-year-old man presented with recurrent bouts of melena, requiring multiple transfusions. Upper GI endoscopic evaluation demonstrated fresh bleeding from the ampulla of Vater. Ultrasonography and CT scan suggested a gall bladder mass without evidence of metastases. Laparotomy confirmed a mass confined to the lumen of the gall bladder. The patient underwent cholecystectomy. Histological examination showed papillary adenocarcinoma of the gall bladder extending up to the muscularis propria.