DOI: 10.36347/sjams.2019.v07i09.007

Pages: 2951-2953

Survival in carcinoma gallbladder (Ca GB) is poor and an overall 5-year survival is below 5%, despite best available surgical and chemotherapeutic measures. Adjuvant and palliative treatment options have limited role, given the aggressive nature of this cancer, with sub-optimal response to chemotherapy. We are hereby to report a rare case of locally advanced carcinoma gall bladder, who received eight cycles of palliative chemotherapy, survived for twenty-two long years, and presented thereafter with tumour reactivation. He was managed by radical cholecystectomy with en-bloc resection of involved small bowel loop along with regional lymph node removal. Patient recovered well after the surgery, was discharged on sixth post-operative day. Histopathological review suggested moderately-differentiated adenocarcinoma gall bladder.