[Obstructive jaundice as a presentation form of bronchogenic small cell carcinoma].
We report a patient having a non-diagnosed small cell lung cancer, presenting with a clinical picture comprising emaciation, hepatomegaly, progressive jaundice, bilirubinuria and clay-colored stools. Computed tomography showed intrahepatic and extrahepatic biliary duct dilatation. The cause was compression of the common bile duct by metastatic enlarged lymph nodes in the porta hepatis. Clinical suspicion arose because of a mass found on the chest X-ray film and a positive cytologic sputum examination. The definitive diagnosis was obtained by bronchoscopy and biopsy.
Martín Parra
J I
JI
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario, Marqués de Valdecilla, Santander.
Rodríguez Sanjuán
J C
JC
Naranjo Gómez
A
A
D002283:Carcinoma, Bronchogenic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D018288:Carcinoma, Small Cell / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed