Korean J Gastrointest Endosc.  1993 Jun;13(2):415-418.

Obstructive Jaundice Caused by the Fragment of Hepatocellular Carcinoma in the Common Hepatic Duct Confirmed by Peroral Choledochoscopy

• Yoo HM
• Chung JB
• Song SY
• Shin YJ
• Park SJ
• Chon CY
• Kang JK
• Park IS

Abstract

The causes of jaundice in patients with hepatocellular carcinoma are usually attributed to the underlying liver diseases or extensive hepatic destruction by tumor. Obstructive jaundice by the intraluminal tumor fragment of intrahepatic and/or extrahepatic bile duct in hepatocellular carcinoma is exceedingly rare and usually diagnosed by operation or autopsy. Recently, we observed a patient in whom the fragment of tumor from the primary hepatocellular carclnoma obstructed the common hepatic duct, which was confirmed by peroral choledochoscopy. Using peroral choledochoscopy. we could see the mass located at the common hepatic duct and diagnose histologically by cytologic examination of aspirated material of common bile duct. We describe here this rare case with review the literature on primary hepatocellular carcinoma with jaundice caused by biliary obstruction.

Keyword

Obstructive jaundice; Hepatocellular carcinoma; Tumor fragment; Peroral choledochoscopy

MeSH Terms

Autopsy
Bile Ducts, Extrahepatic
Carcinoma, Hepatocellular*
Common Bile Duct
Hepatic Duct, Common*
Humans
Jaundice
Jaundice, Obstructive*
Liver Diseases