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Title: Gastric adenocarcinoma causing biliary obstruction without ductal dilatation: a case report.
Authors: Vaz, Karl;Luber, Raphael P;McLean, Catriona;Gerstenmaier, Jan Frank;Roberts, Stuart K
Affiliation: Alfred Hospital, 55 Commercial Rd, Melbourne, VIC, 3004, Australia
Austin Health, Heidelberg, Victoria, Australia
Issue Date: 9-Mar-2019
EDate: 2019-03-09
Citation: Journal of medical case reports 2019; 13(1): 72
Abstract: Gastric adenocarcinoma is a known complication of partial gastrectomy. Jaundice from gastric adenocarcinoma usually occurs in the setting of hepatic nodal or parenchymal metastasis. This case demonstrates an unusual level of biliary obstruction from gastric adenocarcinoma. An 84-year-old Caucasian man was diagnosed as having a new gastric adenocarcinoma at the level of the gastroenteric anastomosis of a prior Billroth II gastrectomy after presenting with painless jaundice. He had a non-dilated biliary tree on radiographic imaging despite evidence of large bile duct obstruction on liver biopsy. The obstruction was managed with endoscopic wire-guided stenting of the malignant tumor. The unusual finding of a non-dilated biliary tree in the face of obstructive jaundice is likely to have resulted from the unusual post-surgical anatomy and hence distal level of obstruction. Endoscopic duodenal stenting is a novel method of managing obstructive jaundice in gastric adenocarcinoma.
DOI: 10.1186/s13256-019-1972-4
PubMed URL: 30850016
Type: Journal Article
Subjects: Billroth II
Gastric adenocarcinoma
Non-dilated biliary tree
Appears in Collections:Journal articles

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