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Carcinomas of the gallbladder are rare malignancies. They are mostly represented by adenocarcinoma. Pure squamous cell carcinoma is a rare histologic subtype characterized by a rapid growth, with local extension and a poor prognosis. We present a recent case of a 63-years-old man admitted with the complaints of pain in right hypochondrium. Computed tomography revealed a tumour in the gallbladder fossa region with infiltration of the liver. Cholecystectomy was achieved. Pathologic examination of the surgical specimen revealed a well differentiated squamous cell carcinoma.

From 1970 to 1983, we performed 53 Hartmann’s procedures; 92% of them were emergency cases. Cancer of the rectum and pelvic colon complicated by obstruction or peritonitis was the major indication: it occurred in 31 cases (59%). In our series, however, the occurrence of noncancerous lesions (diverticulitis, volvulus, Crohn’s disease and trauma) was considerable, too. Hartmann’s procedure is the best and often only solution in line with the rules of colic surgery. The restoration of intestinal continuity after Hartmann’s procedure is of importance, especially as far as the time of reconstruction is concerned. In our series, the procedure was carried out 36 times (69%) with a delay of 3 months; no deaths occurred.