[Gallbladder cancer revealed by a jaundice caused by an endobiliary tumor thrombus].
Main bile duct neoplasic thrombosis is a rare cause of jaundice in case of gallbladder cancer. We report the case of 27-year-old woman in whom the endoluminal biopsy of biliary thrombus confirmed the suspected diagnosis of gallbladder cancer. An initial laparoscopic exploration found a localized peritoneal carcinomatosis. However, in this exceptional situation with an unknown prognostic, a surgical procedure has been performed including hepatectomy IV-V with biliary principal bile duct removal, hepatico-jejunal anastomosis (Roux-en-Y), with complete resection of localized peritoneal carcinomatosis. Post-operative course were uneventful and this patient was asymptomatic under chemotherapy with a six month follow-up.
Service de radiologie; CHU Amiens Nord, 80054 Amiens, France.
C
C
Rau
F
F
Marec
E
E
Vibert
G
G
Geslin
T
T
Yzet
J P
JP
Joly
D
D
Chatelain
H
H
Duval
J-M
JM
Regimbeau
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D001652:Bile Ducts / Q000601:surgery; D002277:Carcinoma / Q000556:secondary / Q000601:surgery; D002779:Cholestasis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D007583:Jejunum / Q000601:surgery; D008099:Liver / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D013927:Thrombosis / Q000209:etiology*; D016896:Treatment Outcome