PALLIATIVE ENDOSCOPIC TREATMENT OF METASTATIC COLORECTAL CARCINOMA IN GALLBLADDER TRACT

Abstract

Colon cancer produces intestinal metastases quite frequently. Metastatic changes of colon cancer seldom cause obstructive jaundice. Case report: A 77-year-old woman was admitted with clinical icterus and recidive cholangitis. Four years prior to the admittance she had been treated for adenocarcinoma of the sigmoid colon, a year after, due to liver metastases, left hepactectomy was performed. After two years, choledochotomy was done due to extrahepatic biliary obstruction and a biliary stent was implanted. Five months afterwards, purulent holangitis developed, so the stent was removed and choledoduodenoanastomosis was done. Owing to reoccurence of icterus as well as cholangitis, an endoscopic retrograde cholangiopancreotography was done and metastatic adenocarcinoma of gallbladder tract was diagnosed. Regarding the disease spreading, we chose palliative treatment by implanting endoscopic biliary endoprosthesis. Conclusion: In patients with icterus or cholangitis suffering from metastatic disease of colorectal carcinoma, one should consider several causes for obstruction and apply palliative cure by implanting endoscopic biliary endoprosthesis.

Keywords

• obstructive jaundice
• colon
• cancer
• endoscopic retrograde cholangiopancreatography