Acta Medica Medianae
Vol. 50, No 1, March, 2011
UDK 61
ISSN 0365-4478(Printed version)
ISSN 1821-2794(Online)
 

Correspondence to:

Aleksandar Knežević

Clinic of Gastroenterology and Hepatology

Clinical Center of Vojvodina

Hajduk Veljkova 1-3, Novi Sad

E-mail: aknezevic@neobee.net

Case report
UDC:616.348-006:616.36-008.5-073

doi:10.5633/amm.2011.0108 

PALLIATIVE ENDOSCOPIC TREATMENT OF METASTATIC COLORECTAL CARCINOMA IN GALLBLADDER TRACT

 Aleksandar Knežević¹, Dragomir Damjanov¹, Ivan Jovanović² and Violeta Knežević³

                     Clinic of Gastroenterology and Hepatology, Clinical Center of Vojvodina, Serbia¹

                     Clinic of Gastroenterology and Hepatology, Clinical Center of Serbia, Serbia²

                     Clinic of Nephrology and Immunology, Clinical Center of Vojvodina, Serbia³

            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. Acta Medica Medianae 2011;50(1) :44-46.

Key words: obstructive jaundice, colon, cancer, endoscopic retrograde cholangiopancreatography