Case report

Ruptured gallbladder as the first presentation of breast cancer

M Jones¹ , J Mathew¹ , KE Abdullah² , T McCulloch² and KL Cheung¹

¹  Professorial Unit of Surgery, City Hospital, Nottingham, UK

²  Department of Histopathology, City Hospital, Nottingham, UK

author email corresponding author email

World Journal of Surgical Oncology 2009, 7:50doi:10.1186/1477-7819-7-50

Published:	1 June 2009

Abstract

Background

Perforation of the gall bladder as a first presentation of breast cancer has not been reported.

Case presentation

Here we present a case of an elderly lady with acute abdomen with evidence of possible perforation of gall bladder on CT scan. Histopathology of the cholecystectomy specimen revealed invasive lobular breast cancer.

Her metastatic breast cancer with right sided primary discovered subsequent to her presentation with acute abdomen is managed successfully with Anastrozole.

Conclusion

We present a rare case of gall bladder perforation from metastatic breast cancer.