Obstructive jaundice caused by hepatocellular carcinoma: detection by endoscopic sonography.
Tumor thrombus in the extrahepatic biliary tree is a rare mechanism of obstructive jaundice. We present a patient with a minute hepatocellular carcinoma in the caudate lobe that invaded the common hepatic duct and caused biliary obstruction. Endoscopic sonography showed a tumor thrombus with central echogenicity and a "nodule-in-nodule" pattern and suggested the correct diagnosis.
Lee
Y C
YC
Department of Internal Medicine, College of Medicine, National Taiwan University, 1, Jen-Ai Road, Taipei, Taiwan.
Wang
H P
HP
Huang
S P
SP
Chang
Y T
YT
Wu
C T
CT
Yang
C S
CS
Wu
M S
MS
Lin
J T
JT
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D002779:Cholestasis / Q000000981:diagnostic imaging* / Q000209:etiology*; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000473:pathology; D019160:Endosonography; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D013927:Thrombosis / Q000150:complications / Q000209:etiology