Abstract: | A 76‐year‐old woman was admitted for treatment of obstructive jaundice. An abdominal computed tomography revealed common bile duct stones and gallstones in addition to gallbladder wall thickness. The endoscopic retrograde cholangiopancreatography (ERCP) also revealed common bile duct stones, gallstones, and irregular imaging of gallbladder wall. After lithotripsy in the bile duct completely, we observed inside the gallbladder by peroral cholecystoscopy (POCCS). POCCS findings and biopsy under direct vision showed papillary adenocarcinoma were observed in body of the gallbladder. |