Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS

A 58-year-old male patient presented with advanced hepatocellular carcinoma underwent transarterial chemoembolization (TACE) for hepatic focal lesions followed by TACE for a solitary hilar nodal metastasis combined with regorafenib therapy. One month later, the patient developed progressive jaundice...

Descripción completa

Detalles Bibliográficos
Autores principales: Emara, Mohamed H., Zaghloul, Mariam S., Mahros, Aya M., Ema, Emad H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247659/
https://www.ncbi.nlm.nih.gov/pubmed/34221641
http://dx.doi.org/10.25259/JCIS_57_2021
_version_ 1783716562448941056
author Emara, Mohamed H.
Zaghloul, Mariam S.
Mahros, Aya M.
Ema, Emad H
author_facet Emara, Mohamed H.
Zaghloul, Mariam S.
Mahros, Aya M.
Ema, Emad H
author_sort Emara, Mohamed H.
collection PubMed
description A 58-year-old male patient presented with advanced hepatocellular carcinoma underwent transarterial chemoembolization (TACE) for hepatic focal lesions followed by TACE for a solitary hilar nodal metastasis combined with regorafenib therapy. One month later, the patient developed progressive jaundice. Work-up showed obstructive jaundice with intrahepatic biliary radicles dilatation. The diagnosis and treatment was achieved by combining endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography and showed uncommon cause of obstructive jaundice due to common bile duct compression by a choledocho-nodal fistula following TACE of a metastatic hilar lymph node.
format Online
Article
Text
id pubmed-8247659
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-82476592021-07-02 Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS Emara, Mohamed H. Zaghloul, Mariam S. Mahros, Aya M. Ema, Emad H J Clin Imaging Sci Case Report A 58-year-old male patient presented with advanced hepatocellular carcinoma underwent transarterial chemoembolization (TACE) for hepatic focal lesions followed by TACE for a solitary hilar nodal metastasis combined with regorafenib therapy. One month later, the patient developed progressive jaundice. Work-up showed obstructive jaundice with intrahepatic biliary radicles dilatation. The diagnosis and treatment was achieved by combining endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography and showed uncommon cause of obstructive jaundice due to common bile duct compression by a choledocho-nodal fistula following TACE of a metastatic hilar lymph node. Scientific Scholar 2021-06-07 /pmc/articles/PMC8247659/ /pubmed/34221641 http://dx.doi.org/10.25259/JCIS_57_2021 Text en © 2021 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Emara, Mohamed H.
Zaghloul, Mariam S.
Mahros, Aya M.
Ema, Emad H
Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS
title Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS
title_full Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS
title_fullStr Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS
title_full_unstemmed Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS
title_short Choledocho-nodal Fistula: Uncommon Cause of Obstructive Jaundice in a Patient with HCC Diagnosed by Combined ERCP/EUS
title_sort choledocho-nodal fistula: uncommon cause of obstructive jaundice in a patient with hcc diagnosed by combined ercp/eus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247659/
https://www.ncbi.nlm.nih.gov/pubmed/34221641
http://dx.doi.org/10.25259/JCIS_57_2021
work_keys_str_mv AT emaramohamedh choledochonodalfistulauncommoncauseofobstructivejaundiceinapatientwithhccdiagnosedbycombinedercpeus
AT zaghloulmariams choledochonodalfistulauncommoncauseofobstructivejaundiceinapatientwithhccdiagnosedbycombinedercpeus
AT mahrosayam choledochonodalfistulauncommoncauseofobstructivejaundiceinapatientwithhccdiagnosedbycombinedercpeus
AT emaemadh choledochonodalfistulauncommoncauseofobstructivejaundiceinapatientwithhccdiagnosedbycombinedercpeus

Ejemplares similares