A Case of Hepatocellular Carcinoma Invading Intrahepatic Duct Complicated by Hemobilia.
- Author:
Soo Jeong CHO
1
;
Ji Kon RYU
;
Sun Jung MYUNG
;
Cheol Min SHIN
;
Dong Won AHN
;
Su Jong YU
;
Ji Won YU
;
Jin Ho PAIK
;
Gyeong Hoon KANG
;
Hyo Suk LEE
Author Information
1. Department of Internal Medicine and Liver Research Institute, Korea. hsleemd@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Hemobilia;
Acute pancreatitis
- MeSH:
Abdominal Pain;
Amylases;
Bilirubin;
Carcinoma, Hepatocellular*;
Cholangiography;
Common Bile Duct;
Dilatation;
Ethanol;
Hemobilia*;
Hepatic Duct, Common;
Humans;
Jaundice;
Jaundice, Obstructive;
Lipase;
Male;
Mastectomy, Segmental;
Occult Blood;
Pancreatitis;
Sphincterotomy, Endoscopic;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(4):278-281
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A seventyone-year-old male presented with sudden epigastric pain followed by jaundice and intermittent right upper abdominal pain. He was diagnosed as hepatocellular carcinoma 7 years ago, and has been treated with transarterial chemoembolization, percuaneous ethanol injection and segmentectomy. On admission, the level of serum bilirubin, amylase and lipase were 8.7 mg/dL, 560 IU/L, and 13,297 IU/L, respectively. Stool occult blood test was positive. Abdominal computed tomography revealed newly-appeared intraductal soft tissue mass with ductal dilatation. Endoscopic retrograde cholangiography demonstrated filling defects in the common hepatic and distal common bile duct (CBD). Endoscopic sphincterotomy was performed and the clots in the distal CBD were removed. An intraductal stent was inserted at the common hepatic duct. The obstructive jaundice and pancreatitis were resolved. Our case suggests that intraductal hepatocellular carcinoma may induce hemobilia as a possible cause of acute pancreatitis.
