Case report: Appearance of an intestinal metastasis from intrahepatic cholangiocarcinoma occurring 5 years after resection of the primary tumor

Francesco Izzo, Mauro Piccirillo, Vittorio Albino, Gerardo Botti, Margherita Foggia, Rossana Iodice, Francesco Pagano, Gianluca Piccirillo, Luigi Tornillo, Paolo Delrio

Research output: Contribution to journalArticlepeer-review

Abstract

We present the unusual case of a 76-year-old male who developed an intestinal recurrence of the same tumor 5 years after hepatic resection for an intrahepatic cholangiocarcinoma. At the time of the first surgery, the patient had undergone hepatic bisegmentectomy of segments IV and V with an 'en bloc' gallbladder resection and porta hepatis lymphadenectomy for the presence of a focal cholangiocarcinoma measuring about 3.0 × 2.5cm in diameter. The histological report confirmed intrahepatic cholangiocarcinoma, the resection margins were free from disease, and there were no lymph node metastases. Five years later colonoscopy showed, at the level of the splenic flexure, the presence of a sessile bilobate polypoid neoplasm. The patient underwent left hemicolectomy with a histological diagnosis of an isolated recurrence of cholangiocarcinoma.

Original languageEnglish
Pages (from-to)892-894
Number of pages3
JournalEuropean Journal of Gastroenterology and Hepatology
Volume22
Issue number7
DOIs
Publication statusPublished - Jul 2010

Keywords

  • bile duct cancer
  • intestinal metastasis
  • intrahepatic cholangiocarcinoma

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology
  • Medicine(all)

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