[Cholangiocellular carcinoma of the common hepatic duct causing obstructive jaundice in a patient with metastatic colonic carcinoma within liver].

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Colović R; Grubor N; Radak V; Micev M; Latincić S
  • Source:
    Srpski arhiv za celokupno lekarstvo [Srp Arh Celok Lek] 2010 Jan-Feb; Vol. 138 (1-2), pp. 88-90.
  • Publication Type:
    Case Reports; English Abstract; Journal Article
  • Language:
    Serbian
  • Additional Information
    • Source:
      Publisher: Srpski Lekarski Drustvo Country of Publication: Serbia NLM ID: 0027440 Publication Model: Print Cited Medium: Print ISSN: 0370-8179 (Print) Linking ISSN: 03708179 NLM ISO Abbreviation: Srp Arh Celok Lek Subsets: MEDLINE
    • Publication Information:
      Publication: Beograd : Srpski Lekarski Drustvo
      Original Publication: Belgrade.
    • Subject Terms:
      Hepatic Duct, Common* ; Neoplasms, Multiple Primary*; Bile Duct Neoplasms/*complications ; Carcinoma/*secondary ; Cholangiocarcinoma/*complications ; Colonic Neoplasms/*pathology ; Jaundice, Obstructive/*etiology ; Liver Neoplasms/*secondary; Aged ; Humans ; Male
    • Abstract:
      Introduction: Colorectal carcinoma, one of the most frequent carcinomas, produces liver metastasis very frequently. Surprisingly, those secondaries rarely cause obstructive jaundice. If it appears, it is usually caused by compression or infiltration of the major bile ducts close to the hepatic hilus, less frequently with bile duct obstruction by gelatinous mucus produced by the timour, much rarer by the tumour growth within the, otherwise intact, common bile duct and very rarely by metastasis into the biliary tree.
      Case Outline: We present a 67-year-old man who had been submitted to left colectomy for sygmoid colon carcinoma four years earlier, now, admitted with an obstructive jaundice, along with a number of liver and lung secondaries. Obstructive jaundice was caused by the vegetative tumour of the proximal part of the common hepatic duct which was resected and anastomosed with a Roux-en-Y jejunal limb. The postoperative recovery was uneventful. The patient died 7 months later without jaundice due to liver and lung secondaries. Histological findings showed cholangiocellular carcinoma of the common hepatic duct, while the histological findings of the liver tumour specimen confirmed metastatic colonic carcinoma.
      Conclusion: In case of obstructive jaundice in patients with metastatic colonic carcinoma within liver, other aethiological factors of biliary obstruction can not be excluded and have to be taken into differential diagnosis.
    • Publication Date:
      Date Created: 20100429 Date Completed: 20100518 Latest Revision: 20190917
    • Publication Date:
      20240829
    • Accession Number:
      10.2298/sarh1002088c
    • Accession Number:
      20422916