title: A rare cause of distal bile duct stenosis.
abstract: 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.
authors.affiliation: Department of Medicine II, Klinikum Heilbronn, University of Heidelberg, Am Gesundbrunnen 20-26, 74078, Heilbronn, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Stoeckler
authors.forename: E
authors.initials: E
authors.lastname: Hagmüller
authors.forename: H-J
authors.initials: HJ
authors.lastname: Rumpelt
authors.forename: U
authors.initials: U
authors.lastname: Weickert
mesh_terms: 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