Spontaneous External Biliary Fistula: A Rare Complication of Cholangiocarcinoma

DOI Web Site 参考文献9件
  • Song In Do
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Oh Hyoung-Chul
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Do Jae Hyuk
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Jeong Lae Ik
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Kim Beom Jin
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Kim Jeong Wook
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Kim Jae Gyu
    Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
  • Chi Kyong Choun
    Department of Surgery, Chung-Ang University College of Medicine, Korea
  • Kim Mi Kyung
    Department of Pathology, Chung-Ang University College of Medicine, Korea

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A 68-year-old woman presented with yellowish discharge oozing from a fistula opening in the upper epigastric area that had persisted for one month prior to her visit. The patient had undergone a left lateral segmentectomy of the liver ten years prior for treatment of intrahepatic duct (IHD) stones. An abdominal computed tomography (CT) scan showed focal stricture and proximal dilatation of remnant IHD and a 1 cm-sized rim-enhancing lesion located under the surgical bed of the abdominal wall surrounding the dilated remnant IHD. Despite conservative management including nasobiliary drainage, no further improvement was anticipated. Partial hepatectomy and fistulectomy were performed for pathologic diagnosis and treatment of the enhancing lesion. Histopathology revealed adenocarcinoma. In this case, cholangiocarcinoma might have arisen in association with IHD stones and then developed a choledocho-cutaneous fistula as a clinical manifestation.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 50 (5), 443-446, 2011

    一般社団法人 日本内科学会

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