Metastatic melanoma presenting as obstructive jaundice with hemobilia.
Metastasis of melanoma to gastrointestinal organs are common and have been well documented. Metastasis to the common bile duct with a clinical presentation of obstructive jaundice and hemobilia, as encountered in our patient, is a heretofore unreported clinical problem. This diagnosis was not suspected before operation but was established after a successful pancreaticoduodenectomy. The patient had an uneventful recovery and has shown no signs of recurrence. The causes of obstructive jaundice and hemobilia have been presented and discussed.
D000328:Adult; D002758:Cholangiography; D002779:Cholestasis / Q000150:complications / Q000175:diagnosis*; D003135:Common Bile Duct / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D006431:Hemobilia / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D010179:Pancreas / Q000601:surgery