title: Obstructive jaundice caused by hepatoma fragments in the common hepatic duct.
abstract: A 67-year-old black male diabetic who had never consumed alcohol presented with anorexia, weakness, weight loss, and jaundice. Ultrasound demonstrated common bile duct obstruction; computed tomography scanning revealed multiple liver masses; endoscopic retrograde cholangiopancreatography showed a filling defect; aortogram confirmed the neovascularity of tumor proliferation; and percutaneous transhepatic cholangiography confirmed high-grade common duct obstruction. Operative intervention demonstrated hepatocellular emboli to the common bile duct causing obstruction. We review the literature on this problem.
authors.affiliation: St. Barnabas Hospital, Livingston, New Jersey.
authors.forename: J
authors.initials: J
authors.lastname: Kiev
authors.forename: D C
authors.initials: DC
authors.lastname: Dyslin
authors.forename: P
authors.initials: P
authors.lastname: Vitenas
authors.forename: M D
authors.initials: MD
authors.lastname: Kerstein
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000473:pathology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000473:pathology*; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography