title: Obstructive jaundice caused by lymphangitis carcinomatosa of bile duct wall from gastric carcinoma.
abstract: We report a case of advanced gastric carcinoma presenting with obstructive jaundice. Computed tomography showed marked lymphadenopathy in the hepatoduodenal ligament and concentric bile duct wall thickening. Histologically, extrahepatic bile duct wall was thickened due to submucosal lymphangitic spread of gastric carcinoma (lymphangitis carcinomatosa). Lymphangitis carcinomatosa may be considered when extrahepatic bile duct wall thickening is seen in patients with obstructive jaundice.
authors.affiliation: Department of Radiology, Kanazawa University, School of Medicine, Kanazawa City, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Gabata
authors.forename: O
authors.initials: O
authors.lastname: Matsui
authors.forename: M
authors.initials: M
authors.lastname: Kadoya
authors.forename: J
authors.initials: J
authors.lastname: Yoshikawa
authors.forename: K
authors.initials: K
authors.lastname: Ueda
authors.forename: Y
authors.initials: Y
authors.lastname: Kawamori
authors.forename: T
authors.initials: T
authors.lastname: Takashima
authors.forename: T
authors.initials: T
authors.lastname: Nagakawa
authors.forename: M
authors.initials: M
authors.lastname: Kayahara
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D017734:Bile Ducts, Extrahepatic / Q000473:pathology; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008205:Lymphangitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000150:complications*; D014057:Tomography, X-Ray Computed