[Invasive gastric cancer with metastasis to biliary tract presenting as primary colangiocarcinoma]

ABSTRACT

Gastric cancer is a relatively common cancer that can metastasize to multiple organs such as liver and the biliary tract. The patient is a 60-year-old woman who was admitted for severe abdominal pain, icterus, rised liver enzymes and a mass at the bifurcation of the common bile duct in MRCP [Magnetic Resonance Cholangio pancreatography] and was diagnosed as a case of primary colangiocarcinoma [Klat skin]. Patient was scheduled for stenting. Because of aggravation of abdominal pain. Upper GI endoscopy was performed and an extensive tumoral mass was found from body down to the pylorus of stomach. The pathology report of biopsies obtained from mass was Signet Ring cell adenocarcinoma of stomach which had metastasized to the biliary tract