Case report A 59 year-old man was admitted in our department for abdominal pain, vomiting and general condition deterioration. He had no stool since two days and his abdomen was… Click to show full abstract
Case report A 59 year-old man was admitted in our department for abdominal pain, vomiting and general condition deterioration. He had no stool since two days and his abdomen was clinically distended. The patient had an advanced gallbladder cancer with synchronous peritoneal and hepatic metastases, and was treated since 12 months with a gemcitabine-based chemotherapy with partial response according to the RECIST criteria. We suspected an occlusive syndrome due to progression of the peritoneal carcinomatosis and also performed a computed tomography (CT) scan. The CT scan confirmed the occlusive syndrome with a colon dilatation and failed to identify a disease progression. Meanwhile, abdominal imaging found the migration of a large gallstone from the gallbladder to the colon due to
Journal Title: Presse medicale
Year Published: 2017
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