Massive Intrabile Duct Invasion Caused by a Fatal Progression of Colonic Adenocarcinoma: Abdominal Computed Tomography Findings and Cholangiography Correlation
Published: April 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7681
Jesus Rodriguez-Pascual, Michael Tyler Babbitt, Marisol Fernádez,
Fernando Camuñez, Francisco José Pérez-Rodríguez
1. Attendig Oncologist, Clinical Oncology Department, Hospital Universitario Montepríncipe, Boadilla Del Monte, Madrid, Spain.
2. Resident, Department of Radiology, University of Illinois at Chicago Hospital, Chicago, Illinois, USA.
3. Attending Radiologist, Department of Radiology, Hospital Universitario Montepríncipe, Boadilla Del Monte, Madrid, Spain.
4. Attending Gastroenterologist, Department of Gastrointestinal, Hospital Universitario Montepríncipe, Boadilla Del Monte, Madrid, Spain.
5. Department of Pathology, Hospital Universitario Montepríncipe, Boadilla Del Monte, Madrid, Spain.
Correspondence
Dr. Jesus Rodriguez Pascual,
Hospital Universitario Madrid Montepríncipe, Avda Montepríncipe 25, 28660, Boadilla Del Monte, Madrid, Spain.
E-mail: jrodriguez@hmhospitales.com
In this report, we present an unusual case of jaundice in a patient with advanced colorectal cancer due to intraductal tumour invasion of the intra- and extrahepatic biliary tree. This complication proved to be fatal despite aggressive therapeutic management. A correct diagnosis of this type of involvement was achieved by a combination of diagnostic and therapeutic cholangiography. Despite adequate biliary decompression, the patient died from liver failure and biliary sepsis.
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