肝曲癌伴胆囊穿孔病例少见 ,文献报告不多 ,临床表现复杂 ,主要为腹痛、伴有感染症状或消化不良、贫血等 ,常易误诊。一般资料 :患者女性 ,58岁 ,住院号 :3682号 ,右上腹疼痛伴贫血 2年余。 2年前因右上腹持续隐痛 ,纳差 ,低热 ,体温37 5℃ ,无黄疸 ,查血 ,血色素 80ｇ Ｌ ,无 Cases of hepatic carcinoma with gallbladder perforation are rare. There are few reports in the literature, and the clinical manifestations are complex, mainly abdominal pain, accompanied by symptoms of infection or indigestion, anemia, etc., and are often misdiagnosed. General Information: Female patient, 58 years old, hospital number: 3682, right upper quadrant pain with anemia for more than 2 years. 2 years ago due to persistent pain in the right upper abdomen, anorexia, low fever, body temperature 37 5 °C, no jaundice, blood check, hemoglobin 80g L, no