Adawi Essa A
Surgical Department, Faculty of Medicine, Jazan University, Saudi Arabia.
Urol Case Rep. 2020 Oct 22;34:101443. doi: 10.1016/j.eucr.2020.101443. eCollection 2021 Jan.
A metastatic disease causes jaundice is not uncommon and usually related to direct tumor invasion to the biliary tree or massive intrahepatic metastasis. Cholestasis secondary to non-traumatic intrahepatic bleeding caused by metastasis from prostate cancer is never been reported in the literature. We present the first case of a-71-years-old patient developed Cholestasis due to spontaneous intrahepatic bleeding caused by metastasis from prostate cancer that was successfully treated conservatively. Prostatic cancer causes liver metastasis carries worse prognosis and compression of the intrahepatic biliary ducts can have long term unsatisfactory outcomes.
转移性疾病导致黄疸并不罕见，通常与肿瘤直接侵犯胆管树或大量肝内转移有关。文献中从未报道过前列腺癌转移引起的非创伤性肝内出血继发胆汁淤积的情况。我们报告了首例71岁患者因前列腺癌转移导致自发性肝内出血而出现胆汁淤积，经保守治疗成功治愈的病例。前列腺癌引起肝转移预后较差，肝内胆管受压可能导致长期不理想的结果。
