Obstructive jaundice secondary to bile duct involvement with Hodgkin's disease: a case report

• Published in: São Paulo medical journal Vol. 123; no. 1; pp. 30 - 32
• Main Authors: Di Sena, Veruska, Thuler, Fernanda Prata Borges Martins, Macedo, Erika Pereira, Paulo, Gustavo Andrade de, Della Libera, Ermelindo, Ferrari, Angelo Paulo
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Associação Paulista de Medicina - APM 02.01.2005; Associação Paulista de Medicina
• Subjects: Cholangiopancreatography, Endoscopic Retrograde; Cholestasis; Common Bile Duct Neoplasms - complications; Common Bile Duct Neoplasms - drug therapy; Endoscopic retrograde cholangiopancreatography; Hodgkin Disease - complications; Hodgkin Disease - drug therapy; Hodgkin's disease; Humans; Jaundice; Jaundice, Obstructive - diagnostic imaging; Jaundice, Obstructive - etiology; Lymphoma; Male; MEDICINE, GENERAL & INTERNAL; Middle Aged; Tomography, X-Ray Computed; Jaundice; Endoscopic retrograde cholangiopancreatography; Doença de Hodgkin; Linfoma; Lymphoma; Icterícia; Pancreatocolangiografia retrógrada endoscópica; Hodgkin's disease; Cholestasis; Obstruções das vias biliares
• ISSN: 1516-3180; 1806-9460; 1806-9460; 1516-3180
• DOI: 10.1590/S1516-31802005000100007

Obstructive jaundice due to lymphoma is very rare. It may be difficult to distinguish between this condition and a large number of causes of extrahepatic bile duct obstruction, even by endoscopic retrograde cholangiography. Its prognosis is poor. Combined chemotherapy and/or radiotherapy with bile duct drainage is a therapeutic option. We describe a case of obstructive jaundice as the initial presentation of Hodgkin's disease. After chemotherapy and endoscopic bile duct stenting, it was noted that the enlarged lymph nodes, jaundice and bile duct dilation disappeared.