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Small intestinal metastasis from intrahepatic cholangiocarcinoma: Report of a case

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Abstract

Metastasis of the small intestine that derives from a primary hepatic neoplasm is rare. We encountered a case of intrahepatic cholangiocarcinoma (ICC) with jejunal metastasis after resection of a primary lesion. A 61-year-old male patient was referred to us with a diagnosis of liver tumors. Partial hepatectomy was performed, and the pathological diagnosis was ICC. Seventeen months after surgery, the patient was found to have a mass in the jejunum and lymph node swelling by positron emission tomography-computed tomography. The jejunal tumor was preoperatively diagnosed as a metastasis of ICC from a biopsy specimen obtained by double balloon endoscopy, and the tumor was resected. The patient received systemic chemotherapy but succumbed with ICC recurrence 46 months after the primary surgery. To the best of our knowledge, this case is the first report of jejunal recurrence of ICC. In addition, this report suggests the usefulness of double balloon endoscopy to make the correct diagnosis of the jejunal tumor.

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Authors and Affiliations

  1. Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan

    Hironori Hayashi, Takashi Tani, Hidehiro Tajima, Yasuhiro Shoji, Shiro Terai, Ichiro Onishi, Hiroyuki Takamura, Hirohisa Kitagawa, Masato Kayahara & Tetsuo Ohta

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  1. Hironori Hayashi
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  2. Takashi Tani
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  3. Hidehiro Tajima
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  4. Yasuhiro Shoji
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  5. Shiro Terai
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  9. Masato Kayahara
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  10. Tetsuo Ohta
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Hayashi, H., Tani, T., Tajima, H. et al. Small intestinal metastasis from intrahepatic cholangiocarcinoma: Report of a case. Surg Today 41, 859–864 (2011). https://doi.org/10.1007/s00595-010-4358-1

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  • DOI: https://doi.org/10.1007/s00595-010-4358-1

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