title: Hepatoma presenting as extrahepatic biliary obstruction due to hemobilia.
abstract: A case of hepatoma presenting as extrahepatic biliary obstruction due to hemobilia is reported. The patient, a 49-year-old woman, developed jaundice of the obstructive type after a history of B-viral hepatitis. On laparotomy, the liver revealed macronodular cirrhosis without any noticeable mass. A 4-cm sized friable tissue and blood clots were identified within the distended left hepatic duct. Pathologic examination of this tissue confirmed the diagnosis of hepatocellular carcinoma extended in the hepatic duct.
authors.forename: B S
authors.initials: BS
authors.lastname: Rhoe
authors.forename: H
authors.initials: H
authors.lastname: Kim
authors.forename: S Y
authors.initials: SY
authors.lastname: Jin
authors.forename: W I
authors.initials: WI
authors.lastname: Jang
mesh_terms: D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000473:pathology / Q000601:surgery; D001651:Cholestasis, Extrahepatic / Q000209:etiology* / Q000473:pathology; D003135:Common Bile Duct / Q000473:pathology; D005260:Female; D006431:Hemobilia / Q000150:complications*; D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis; D008113:Liver Neoplasms; D008875:Middle Aged