Year 2023 / Volume 115 / Number 6
Letter
Hilar cholangiocarcinoma presenting with hematochezia due to metastases to the rectum

330

DOI: 10.17235/reed.2022.9173/2022

Maria Azevedo Silva, André Ruge Gonçalves, Alexandra Fernandes, Helena Vasconcelos,

Abstract
An 84-year-old female, with history of endometrial and gallbladder adenocarcinomas, both submitted to curative surgeries, was admitted to the emergency room with obstructive jaundice. Computed tomography and subsequent magnetic resonance cholangiopancreatography revealed a common hepatic duct stenosis with intrahepatic biliary dilatation. She underwent percutaneous transhepatic cholangiography with successful biliary drainage. During the same admission, the patient experienced episodes of hematochezia. Rectosigmoidoscopy showed a 20 mm ulcer in the distal rectum and congestion of the rectal mucosa. Computed tomography revealed rectal wall circumferential thickening. Ulcer biopsies were compatible with a neoplasia of biliary origin.
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References
1. Dondossola D, Ghidini M, Grossi F, et al. Practical review for diagnosis and clinical management of perihilar cholangiocarcinoma. World Journal of Gastroenterology. 2020;26(25).
2. Niazi A, Saif MW. Colon Mass as a Secondary Metastasis from Cholangiocarcinoma: A Diagnostic and Therapeutic Dilemma. Cureus. 2016;8(7).
3. Shioi I, Yamaoka Y, Shiomi A, et al. Rectal stenosis due to solitary pelvic recurrence of hilar cholangiocarcinoma. JGH Open. 2020; 4(5).
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Azevedo Silva M, Ruge Gonçalves A, Fernandes A, Vasconcelos H. Hilar cholangiocarcinoma presenting with hematochezia due to metastases to the rectum. 9173/2022


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Publication history

Received: 31/08/2022

Accepted: 05/09/2022

Online First: 23/09/2022

Published: 06/06/2023

Article Online First time: 23 days

Article editing time: 279 days


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