SpyGlass in Diagnosis of Hepatocellular Carcinoma with Right Hepatic Duct Tumor Thrombus Hemorrhage: A Case Report.
- Author:
Li-Hua GUO
1
;
Min MIAO
1
;
Guo-Liang YE
1
Author Information
- Publication Type:Journal Article
- Keywords: SpyGlass; bile duct tumor thrombus; hepatocellular carcinoma; obstructive jaundice
- MeSH: Female; Humans; Middle Aged; Carcinoma, Hepatocellular/diagnostic imaging*; Jaundice, Obstructive/etiology*; Liver Neoplasms/diagnostic imaging*; Hepatic Duct, Common/pathology*; Thrombosis/complications*; Hemorrhage/complications*
- From: Chinese Medical Sciences Journal 2023;38(4):309-314
- CountryChina
- Language:English
- Abstract: Hepatocelluar carcinoma presenting as a biliary duct tumor thrombus is a relatively rare entity, with poor prognosis. The primary clinical manifestation of this disease is obstructive jaundice, which can often be misdiagnosed. A 59-year-old female patient was admitted with sudden onset of abdominal pain. Laboratory tests suggested obstructive jaundice, and enhanced magnetic resonance imaging of the upper abdomen did not show obvious biliary dilatation. Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography suggested an occupying lesion in the upper bile duct. SpyGlass and biopsy finally confirmed hepatocellular carcinoma with right hepatic duct tumor thrombus hemorrhage. The SpyGlass Direct Visualization System, as an advanced biliary cholangioscopy device, showed the advantages of single-person operation as well as easy access to and visualization of the lesion.
