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Cutaneous metastases from cholangiocarcinoma following percutaneous transhepatic biliary drainage: Case report and literature review

Authors :
Asif Jah
Teik Choon See
Siong-Seng Liau
Neville V. Jamieson
Raaj K. Praseedom
E. Huguet
A. Rosich-Medina
Source :
International Journal of Surgery Case Reports
Publication Year :
2010
Publisher :
Elsevier, 2010.

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is commonly used in the management of cholangiocarcioma. Major and minor complications of PTBD such as cholangitis, haemorrhage and catheter dislocation are well documented. A lesser reported complication are cutaneous metastases following PTBD for cholangiocarcinoma. We report a case of a 79 year old man who presented with right upper quadrant pain, jaundice and weight loss, with dilated intra-hepatic bile ducts on imaging. The cytology results from a sample taken during endoscopic retrograde cholangiopancreatography were highly suspicious of cholangiocarcioma. A PTBD was subsequently performed and bilateral metal biliary stents were placed without external drainage. Five months after the PTBD he was found to have a hard nodule under the PTBD puncture site. The nodule was excised and the histology confirmed a cholangiocarcinoma metastasis. A review of the literature identified twelve cases of cutaneous metastases from cholangiocarcinoma, following PTBD. In addition, tumour seeding along the catheter tract following PTBD, with metastatic deposits on the abdominal wall, peritoneoum, chest wall, pleural space, and liver parenchyma have also been reported. Health care professionals should be aware of this rare complication and offer appropriate management options to patients.

Details

Language :
English
ISSN :
22102612
Volume :
1
Database :
OpenAIRE
Journal :
International Journal of Surgery Case Reports
Accession number :
edsair.doi.dedup.....98074b5262e39458dbe0b5178e894987