title: Hepatocellular carcinoma with distant double bile duct tumoral thrombus: a case report.
abstract: The authors report a case of a 3 cm hepatocellular carcinoma at the junction of segments VI and VII with double bile duct tumoral thrombi (Types I and III). The type I thrombus was suspected during the pre-operative workup, but the type III bile duct tumoral thrombus (BDTT) was an intra-operative additional finding on cholangiography. The patient underwent a bisegmental posterolateral resection to remove the primary tumour and the first tumoral thrombus located in the posterolateral intrahepatic duct. A choledocotomy was also performed to remove, by balloon catheter, the floating thrombus located in the common bile duct just over the papilla. The authors discuss their diagnostic and therapeutic approach and review the literature.
authors.affiliation: Department of abdominal surgery, Notre Dame Hospital, Tournai, Belgium.
authors.forename: H-D
authors.initials: HD
authors.lastname: Lam
authors.forename: Ph
authors.initials: P
authors.lastname: Hauters
authors.forename: Chr
authors.initials: C
authors.lastname: Iloaie
authors.forename: A
authors.initials: A
authors.lastname: Nakad
authors.forename: N
authors.initials: N
authors.lastname: Renard
authors.forename: Ph
authors.initials: P
authors.lastname: Malvaux
authors.forename: J
authors.initials: J
authors.lastname: Landenne
mesh_terms: D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000473:pathology*; D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology*