Hepatocelluar
carcinoma presenting as a biliary duct
tumor thrombus is a relatively rare entity, with poor
prognosis. The primary clinical manifestation of this
disease is
obstructive jaundice, which can often be misdiagnosed. A 59-year-old
female patient was admitted with sudden onset of
abdominal pain.
Laboratory tests suggested
obstructive jaundice, and enhanced
magnetic resonance imaging of the upper
abdomen did not show obvious biliary
dilatation. Endoscopic ultrasound and
endoscopic retrograde cholangiopancreatography suggested an occupying lesion in the upper
bile duct. SpyGlass and
biopsy finally confirmed
hepatocellular carcinoma with right
hepatic duct tumor thrombus hemorrhage. The SpyGlass Direct Visualization System, as an advanced biliary cholangioscopy
device, showed the advantages of single-
person operation as well as easy access to and visualization of the lesion.