title: Hepatocellular Carcinoma Presenting with Obstructive Jaundice during Pregnancy.
abstract: Introduction. Both hepatocellular carcinoma (HCC) presenting during pregnancy and HCC presenting with obstructive jaundice due to a tumor cast in the biliary tract are very rare. The management of these patients remains challenging. Presentation of Case. A 23-year-old lady presented with obstructive jaundice at 38 weeks of gestation. Investigations showed HCC with a biliary tumor thrombus. She received percutaneous transhepatic biliary drainage (PTBD) and caesarean section. Right hepatectomy, extrahepatic bile duct resection, and left hepaticojejunostomy were carried out when the jaundice improved. The postoperative course was uneventful. She was discharged home on postoperative day 10. Histopathology showed HCC with a tumor thrombus in the bile duct. The surgical margins were clear. One year after surgery, the mother was disease-free and the baby was well. Conclusion. With proper management, curative treatment is possible in a pregnant patient who presented with obstructive jaundice due to a biliary tumor thrombus from HCC.
authors.affiliation: Department of Liver Surgery, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China ; Department of Hepatobiliary Surgery, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China.
authors.forename: Huan-Wei
authors.initials: HW
authors.lastname: Chen
authors.affiliation: Department of Liver Surgery, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China.
authors.forename: Feng-Jie
authors.initials: FJ
authors.lastname: Wang
authors.affiliation: Department of Liver Surgery, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China.
authors.forename: Jie-Yuan
authors.initials: JY
authors.lastname: Li
authors.affiliation: Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
authors.forename: Eric C H
authors.initials: EC
authors.lastname: Lai
authors.affiliation: Department of Liver Surgery, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China ; Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
authors.forename: Wan Yee
authors.initials: WY
authors.lastname: Lau