title: Unusual presentation of recurrent hepatocellular carcinoma as obstructive jaundice 15 years after liver transplant.
abstract: Hepatocellular carcinoma recurrence is a known limitation of liver transplant. Recurrence rates have been reported in 10% to 60% of patients within an average of 1 to 2 years following liver transplant. We report a case of recurrent hepatocellular carcinoma 15 years after orthotopic liver transplant, presenting initially as obstructive bile duct compression as detected by cholangiogram. Laparotomy revealed hepatocellular carcinoma invading the common bile duct without any mass in the liver parenchyma. The main focus of the case is the endoscopic retrograde cholangiopancreatography image, which is unique in the setting of liver disease following liver transplant.
authors.affiliation: Nazih Zuhdi Transplant Institute, Integris Baptist Medical Center, Oklahoma City, OK, USA.
authors.forename: Cemalettin
authors.initials: C
authors.lastname: Camci
authors.forename: Ahmet
authors.initials: A
authors.lastname: Gurakar
authors.forename: Vivek
authors.initials: V
authors.lastname: Kohli
authors.forename: Sharad
authors.initials: S
authors.lastname: Sharma
authors.forename: Nicolas
authors.initials: N
authors.lastname: Jabbour
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000473:pathology; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis* / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology; D016031:Liver Transplantation; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000473:pathology