Gallbladder duct tumors are still very rare in clinical practice. Early cystic duct tumors may have no clinical symptoms, however, because of the narrow cystic duct, early cystic duct tumors can cause obstruction of the gallbladder. It can be manifested as acute cholecystitis, mainly right upper abdominal pain, severe colic, paroxysmal or persistent and aggravated by paroxysms, pain can radiate to the back of right shoulder, and can be accompanied by clinical symptoms such as fever, nausea, vomiting and abdominal distension. If the bile duct tumor is large and compresses the common hepatic duct and common bile duct, jaundice may also appear, and some patients may even develop bile duct fistula. On examination, the enlarged gallbladder can be palpated, Murphy’s sign is positive, and percussion pain in the liver area is positive. In principle, surgery should be performed for choledochal tumors, and a rapid pathological examination should be performed during surgery to clarify the nature of the lesion. If it is malignant it also needs to be treated according to the principles of gallbladder cancer, and the main thing is that negative cut margins should be ensured.