GALLBLADDER CANCER DIFFICULT DIAGNOSIS AND PATHOLOGICAL ASSOCIATION

OBJECTIVES The case presented show up the neoplastic backgraund of the patient to witch were associated simultaneously three different types of cancer: * Gallbladder cancer * Great omentum cancer * Appendicular mucocele MATERIAL AND METHOD We present a clinical case of a 72-year-old patient, who was referred to hospital due to abdominal and right hypochondrium pain, loss of appetite, fever, chills, jaundice and weight loss (15 kg in the last six weeks) that lasted for the past four days. The ultrasound showed up moderately hepatomegaly, without PLIH, relaxed, hypotonic gallbladder, with no edema, but with several stones of 7mm and biliary sludge, which seems to cover a possible proliferative process located in the fundic area; common bile duct - free(4 mm), intrahepatic bile ducts-normal, head of pancreas- 35 mm, possible pancreatic reaction. Upper digestive endoscopy showed esophagus with normal mucosa, stomach with hyperemia, edema, superficial mucosal erosion of the body and pyloric antrum, fluid of biliary secretion in medium quantity; asimetric, spastic, permeable piloris; duodenal bulb with normal mucosa with biliary secretion liquid.