Yonsei Med J.  1989 Dec;30(4):383-386. 10.3349/ymj.1989.30.4.383.

Hepatoma presenting as extrahepatic biliary obstruction due to hemobilia

Affiliations
  • 1Deparment of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 2Deparment of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 3Deparment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

A case of hepatoma presenting as extrahepatic biliary obstruction due to hemobilia is reported. The patient, a 49-year-old woman, developed jaundice of the obstructive type after a history of B-viral hepatitis. On laparotomy, the liver revealed macronodular cirrhosis without any noticeable mass. A 4-cm sized friable tissue and blood clots were identified within the distended left hepatic duct. Pathologic examination of this tissue confirmed the diagnosis of hepatocellular carcinoma extended in the hepatic duct.

Keyword

Hepatocellular carcinoma; obstructive jaundice; extrahepatic biliary obstruction

MeSH Terms

Bile Duct Obstruction, Extrahepatic/*etiology/pathology
Biopsy
Carcinoma, Hepatocellular/*complications/pathology/surgery
Case Report
Common Bile Duct/pathology
Female
Hemobilia/*complications
Human
Liver Cirrhosis/diagnosis
Liver Neoplasms
Middle Age
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