title: Obstructive Jaundice from Metastatic Squamous Cell Carcinoma of the Lung.
abstract: Obstructive jaundice from metastatic lung cancer is extremely rare. Most reported cases have had small cell cancer of lung or adenocarcinoma of lung as primary malignancy metastasizing to the biliary system. We report the case of a patient presenting with symptoms of obstructive jaundice found to have metastatic involvement of hepatobiliary system from squamous cell cancer (SCC) of lung. ERCP (endoscopic retrograde cholangiopancreatography) with biliary stenting is the procedure of choice in such patients. Our case is made unique by the fact that technical difficulties made it difficult for the anesthesiologists to intubate the patient for an ERCP. As a result percutaneous transhepatic cholangiogram (PTC) with internal-external biliary drainage was performed.
authors.affiliation: Department of Gastroenterology and Hepatology, Overton Brooks VA Hospital, LSUHSC, Shreveport, LA.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Seth
authors.affiliation: Department of Gastroenterology and Hepatology, Overton Brooks VA Hospital, LSUHSC, Shreveport, LA.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Palmer
authors.affiliation: Department of Interventional Radiology, CHRISTUS Highland Medical Center, Shreveport, LA.
authors.forename: Jason
authors.initials: J
authors.lastname: Campbell
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D004322:Drainage; D005706:Gallbladder Neoplasms / Q000556:secondary*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000556:secondary*; D008175:Lung Neoplasms / Q000150:complications / Q000473:pathology*; D008297:Male