Metastatic Cecal Adenocarcinoma to the GallbladderPresenting with Acute Cholecystitis

Colorectal cancer (CRC) is one of the most common cancers and the second highest cause of cancer-related deaths (Jemal et al.,2011). Common presentations of CRC include alterations in bowel habit, weight loss, and lower gastrointestinal bleeding. Wereport a case of a 74-year-old male who presented with fever and right upper quadrant pain, with positive Murphy’s sign onexamination. The case was initially managed with a routine cholecystectomy. Histological examination revealed a moderatelydifferentiated adenocarcinoma with a superimposed histologically proven acute acalculous cholecystitis. CT scan donepostsurgery showed a cecal mass with retroperitoneal lymphadenopathy. Biopsy result of cecal mass was remarkable for colonadenocarcinoma. We are not aware of any similar prior cases reported in English literature