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Case Report | General Surgery | Volume 15 Issue 5, May 2026 | Pages: 1856 - 1860 | India
Metastatic Carcinoma Gallbladder with Drain Site Cutaneous Metastasis: A Case Report
Abstract: Introduction: Gallbladder carcinoma (GBC) is an aggressive malignancy with a poor prognosis, frequently diagnosed at an advanced stage. Cutaneous metastasis, particularly at surgical drain or port sites, is rare but signifies disseminated disease and adverse outcomes. With the increasing use of minimally invasive and biliary interventions, awareness of this entity is crucial. Case Presentation: We report a 60-year-old male who presented with a right upper quadrant abdominal mass and an ulceroproliferative lesion at a previous drain site. Four months earlier, an attempted open cholecystectomy for cholelithiasis was abandoned due to dense adhesions, and a subhepatic drain was left in situ for a prolonged duration. Subsequent evaluation revealed a poorly differentiated adenocarcinoma of the gallbladder with extensive locoregional invasion and metastatic lymphadenopathy. Histopathology from the drain-site lesion confirmed cutaneous metastasis from gallbladder carcinoma. Conclusion: Drain-site metastasis in gallbladder carcinoma is an uncommon but ominous manifestation, often reflecting advanced disease and tumour seeding related to surgical manipulation. Meticulous surgical technique, avoidance of bile spillage, and early recognition of suspicious cutaneous lesions are essential. This case highlights the need for heightened oncological vigilance during biliary procedures and emphasises the prognostic significance of drain-site metastasis in gallbladder cancer.
Keywords: Gallbladder carcinoma, Drain-site metastasis, Cutaneous metastasis, Cholecystostomy, Adenocarcinoma gallbladder
How to Cite?: Nishit Jain, Amit Gupta, Karamveer Singh, Afsar Ali, Chandni Patel, Ashish Mishra, Naman Singh, Dipendra Singh, "Metastatic Carcinoma Gallbladder with Drain Site Cutaneous Metastasis: A Case Report", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 1856-1860, https://www.ijsr.net/getabstract.php?paperid=SR26529133330, DOI: https://dx.dx.doi.org/10.21275/SR26529133330