A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice.

Kim, Sung Bum; Kim, Tae Nyeun; Kim, Sung Jun; Lee, Ho Chan; Park, Jae Hyun; Eun, Jong Ryul; Jang, Byung Ik; Lee, Heon Ju; Yun, Sung Su; Bae, Young Kyung

doi:2008.25.2.165

J Yeungnam Med Sci > Volume 25(2); 2008 > Article

Case Report

Yeungnam University Journal of Medicine 2008;25(2):165-170.
DOI: https://doi.org/10.12701/yujm.2008.25.2.165 Published online December 31, 2008.

A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice.

Sung Bum Kim, Tae Nyeun Kim, Sung Jun Kim, Ho Chan Lee, Jae Hyun Park, Jong Ryul Eun, Byung Ik Jang, Heon Ju Lee, Sung Su Yun, Young Kyung Bae

¹Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. tnk@med.yu.ac.kr
²Department of Surgery, College of Medicine, Yeungnam University, Daegu, Korea.
³Department of Pathology, College of Medicine, Yeungnam University, Daegu, Korea.

Abstract

The incidence of hepatocellular carcinoma presenting as obstructive jaundice is 0.7~9%. The mechanisms of obstructive jaundice include bile duct invasion by tumor, tumor thrombi, blood clots, direct bile duct compression by tumor, and intraductal tumor growth. We report a rare case of hepatocellular carcinoma with intraductal growth. A 46-year-old woman was admitted due to colicky right upper abdominal pain and jaundice for 4 days. Computed tomography showed dilatation of the left intrahepatic duct, and endoscopic retrograde cholangiography showed a filling defect in the left main intrahepatic duct. We performed a left lobectomy with a Roux-en-Y hepaticojejunostomy. The tumor was diagnosed as a hepatocellular carcinoma with intraductal growth.

Key Words: Hepatocellular carcinoma, Intraductal, Obstructive jaundice