DOUBLE CANCERS OF THE GALLBLADDER AND BILE-DUCT ASSOCIATED WITH ANOMALOUS CHOLEDOCHOPANCREATIC DUCT JUNCTION

A rare case of double cancers of the gallbladder and bile duct associa ted with anomalous choledochopancreatic duct junction (ACPDJ) is repor ted. The patient was a 61-year-old Japanese woman who with presented r ight upper quadrant abdominal pain. Liver function tests results were normal. Computed tomography showed a polypoid lesion in the gallbladde r, and endoscopic retrograde cholangiopancreatography (ERCP) demonstra ted ACPDJ and irregular wall of the inferior bile duct. A diagnosis of double cancers of the gallbladder and bile duct was made and a pancre aticoduodenectomy and liver bed resection was performed. His topatholo gical examination showed papillary adenocarcinoma of the gallbladder a nd mucosal adenocarcinoma of the bile duct. The patient is in good hea lth 15 months after the operation and shows no signs of recurrence. A review of the literature is presented.