Kiev J, Dyslin D C, Vitenas P, Kerstein M D
St. Barnabas Hospital, Livingston, New Jersey.
J Clin Gastroenterol. 1990 Apr;12(2):207-13. doi: 10.1097/00004836-199004000-00022.
A 67-year-old black male diabetic who had never consumed alcohol presented with anorexia, weakness, weight loss, and jaundice. Ultrasound demonstrated common bile duct obstruction; computed tomography scanning revealed multiple liver masses; endoscopic retrograde cholangiopancreatography showed a filling defect; aortogram confirmed the neovascularity of tumor proliferation; and percutaneous transhepatic cholangiography confirmed high-grade common duct obstruction. Operative intervention demonstrated hepatocellular emboli to the common bile duct causing obstruction. We review the literature on this problem.
