Small intestinal metastasis from intrahepatic cholangiocarcinoma: Report of a case

Metastasis of the small intestine that derives from a primary hepatic neoplasm is rare. We encountered a case of intrahepatic cholangiocarcinoma (ICC) with jejunal metastasis after resection of a primary lesion. A 61-year-old male patient was referred to us with a diagnosis of liver tumors. Partial...

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Bibliographic Details
Published inSurgery today (Tokyo, Japan) Vol. 41; no. 6; pp. 859 - 864
Main Authors Hayashi, Hironori, Tani, Takashi, Tajima, Hidehiro, Shoji, Yasuhiro, Terai, Shiro, Onishi, Ichiro, Takamura, Hiroyuki, Kitagawa, Hirohisa, Kayahara, Masato, Ohta, Tetsuo
Format Journal Article
LanguageEnglish
Published Japan Springer Japan 01.06.2011
Subjects
Bile Duct Neoplasms - pathology
Bile Duct Neoplasms - surgery
Bile Ducts, Intrahepatic
Case Report
Cholangiocarcinoma - secondary
Cholangiocarcinoma - surgery
Endoscopy, Gastrointestinal
Fatal Outcome
Hepatectomy
Humans
Jejunal Neoplasms - secondary
Jejunal Neoplasms - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Positron-Emission Tomography
Surgery
Surgical Oncology
Tomography, X-Ray Computed
Jejunal metastasis
Double balloon endoscopy
Positron emission tomography
Intrahepatic cholangiocarcinoma
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Summary:Metastasis of the small intestine that derives from a primary hepatic neoplasm is rare. We encountered a case of intrahepatic cholangiocarcinoma (ICC) with jejunal metastasis after resection of a primary lesion. A 61-year-old male patient was referred to us with a diagnosis of liver tumors. Partial hepatectomy was performed, and the pathological diagnosis was ICC. Seventeen months after surgery, the patient was found to have a mass in the jejunum and lymph node swelling by positron emission tomography-computed tomography. The jejunal tumor was preoperatively diagnosed as a metastasis of ICC from a biopsy specimen obtained by double balloon endoscopy, and the tumor was resected. The patient received systemic chemotherapy but succumbed with ICC recurrence 46 months after the primary surgery. To the best of our knowledge, this case is the first report of jejunal recurrence of ICC. In addition, this report suggests the usefulness of double balloon endoscopy to make the correct diagnosis of the jejunal tumor.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-010-4358-1