title: Obstructive jaundice secondary to bile duct involvement with Hodgkin's disease: a case report.
abstract: BACKGROUND
  Obstructive jaundice due to lymphoma is very rare. It may be difficult to distinguish between this condition and a large number of causes of extrahepatic bile duct obstruction, even by endoscopic retrograde cholangiography. Its prognosis is poor. Combined chemotherapy and/or radiotherapy with bile duct drainage is a therapeutic option.
  
  
  METHODS
  We describe a case of obstructive jaundice as the initial presentation of Hodgkin's disease. After chemotherapy and endoscopic bile duct stenting, it was noted that the enlarged lymph nodes, jaundice and bile duct dilation disappeared.
authors.affiliation: Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
authors.forename: Veruska
authors.initials: V
authors.lastname: Di Sena
authors.forename: Fernanda Prata Borges Martins
authors.initials: FP
authors.lastname: Thuler
authors.forename: Erika Pereira
authors.initials: EP
authors.lastname: Macedo
authors.forename: Gustavo Andrade de
authors.initials: GA
authors.lastname: Paulo
authors.forename: Ermelindo
authors.initials: E
authors.lastname: Della Libera
authors.forename: Angelo Paulo
authors.initials: AP
authors.lastname: Ferrari
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000188:drug therapy; D006689:Hodgkin Disease / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D041781:Jaundice, Obstructive / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed