A rare cause of distal bile duct stenosis.
BACKGROUND
In a patient with a distal bile duct stenosis a definite diagnosis could not be made preoperatively.


CONCLUSIONS
The histologic evaluation of the surgical resection specimen revealed infiltration of the pancreatic head and the distal bile duct by breast tumor cells.


CONCLUSIONS
The metastasis was the only tumor manifestation after mastectomy 12 years ago.
Stoeckler
F
F
Department of Medicine II, Klinikum Heilbronn, University of Heidelberg, Am Gesundbrunnen 20-26, 74078, Heilbronn, Germany.
Hagmüller
E
E
Rumpelt
H-J
HJ
Weickert
U
U
D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000556:secondary; D003251:Constriction, Pathologic / Q000150:complications / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000556:secondary