转移至胆管树的结肠癌
Colon Cancer Metastatic to the Biliary Tree.
作者信息
Strauss Alexandra T, Clayton Steven B, Markow Michael, Mamel Jay
机构信息
Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.
Department of Internal Medicine, Division of Gastroenterology, University of South Carolina, Greenville, SC.
出版信息
ACG Case Rep J. 2016 Apr 15;3(3):214-6. doi: 10.14309/crj.2016.54. eCollection 2016 Apr.
Metastasis of colon adenocarcinoma is commonly found in the lung, liver, or peritoneum. Common bile duct (CBD) tumors related to adenomas from familial adenomatous polyposis metastasizing from outside of the gastrointestinal tract have been reported. We report a case of biliary colic due to metastatic colon adenocarcinoma to the CBD. Obstructive jaundice with signs of acalculous cholecystitis on imaging in a patient with a history of colon cancer should raise suspicion for metastasis to CBD.
结肠腺癌转移常见于肺、肝或腹膜。有报道称，家族性腺瘤性息肉病相关腺瘤可从胃肠道外转移至胆总管（CBD）。我们报告一例结肠腺癌转移至CBD导致胆绞痛的病例。有结肠癌病史的患者，影像学检查显示梗阻性黄疸并有无结石性胆囊炎的迹象，应怀疑有转移至CBD的可能。
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