胆囊癌起病隐匿,早期大多无症状,中晚期的主要临床表现有右上腹疼痛、右上腹肿块、黄疸、消瘦等,而以腹水为主要临床表现较为少见,现将景德镇市第2人民医院消化内科1例以腹水为主要表现的胆囊癌报道如下。1病例介绍患者,男,77岁,因右上腹胀痛1周于2015-04-13入院。既往慢性胆囊炎、胆结石、冠心病病史10余年,近5年来曾6次因急性胆源性胰腺炎、急性胆 The onset of gallbladder occult disease, most of the early asymptomatic, the main clinical manifestations of the right upper quadrant pain, right upper quadrant lumps, jaundice, weight loss, etc., and ascites is the main clinical manifestations of rare, now the Second People’s Hospital of Jingdezhen digestion 1 case of medical ascites as the main manifestation of gallbladder cancer are reported below. 1 case description The patient, male, 77 years old, due to right upper quadrant pain for 1 week on 2015-04-13 admission. Past chronic cholecystitis, gallstone, coronary heart disease history of more than 10 years, nearly 5 years had 6 times due to acute gallstone pancreatitis, acute gallbladder