Abstract A 79-year-old female was transferred to our hospital because of suspicion that her acute pancreatitis was caused by stone impaction in the common bile duct (CBD). Laboratory examination showed aspartate amino-transferase, 1645 U/l; alanine aminotransferase, 476 U/l; amylase, 1365 U/l; and white blood cells, 10700/ul. Computed tomography (CT) showed an enhanced tumor in the neck of the gallbladder, an abnormal CBD filled with a high-density area, and localized swelling in the head of the pancreas. Magnetic resonance cholangiopancreatography also showed a low-intensity area in the CBD. Endoscopic retrograde cholangiopancreatography showed coagulated blood discharged from the papilla of Vater. The diagnosis was acute pancreatitis caused by impaction of coagulated blood from a gallbladder tumor. A curative operation was performed 10 days after endoscopic bile duct drainage. Gallbladder cancer (GBCa) has no special symptoms and is usually diagnosed at an advanced stage; however, hemobilia and acute pancreatitis are unusual as an initial presentation of GBCa.
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机译：摘要一名79岁的女性因怀疑她的急性胰腺炎是由胆总管结石引起的，因此被转移到我院。实验室检查显示天门冬氨酸氨基转移酶为1645 U / l。丙氨酸氨基转移酶，476 U / l;淀粉酶，1365 U / l;和白细胞，10700 / ul。计算机断层扫描（CT）显示胆囊颈部肿瘤增强，CBD异常并充满高密度区域，并且胰头局部肿胀。磁共振胰胆管造影也显示了CBD中的低强度区域。内镜逆行胰胆管造影显示凝结的血液从Vater的乳头排出。诊断为急性胆囊炎是由胆囊肿瘤凝结的血液撞击引起的。内镜下胆管引流术后10天进行治愈性手术。胆囊癌（GBCa）没有特殊症状，通常诊断为晚期。然而，胆汁淤积和急性胰腺炎作为GBCa的最初表现并不常见。
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