Hepatocellular carcinoma presenting as jaundice, hemobilia, and acute pancreatitis: a case report.

C. L. Hsu, C. H. Wang, R. J. Chen, T. C. Chen

Research output: Chapter in Book/Report/Conference proceedingChapter

12 Citations (Scopus)

Abstract

A 48-year-old asymptomatic male hepatitis B virus carrier presented with a 2-day history of fever, chills, right upper quadrant abdominal pain, and jaundice. Shock was detected on admission. Emergency abdominal computed tomography (CT) scanning without contrast enhancement showed the features of acute pancreatitis. Hemobilia, edematous pancreatitis, cholestasis and cholecystitis were found on exploratory laparotomy. Neither stone nor active bleeding were detected on intraoperative choledochoscopic examination. Postoperative T-tube cholangiography one month later revealed non-opacification of the left intrahepatic duct. The patient's abdominal pain and hemobilia recurred. Celiac angiography and CT scanning with contrast showed two hepatocellular carcinomas (HCC) in the left lobe of the liver. This is the first case report in the English literature of HCC presenting as jaundice, hemobilia, and acute pancreatitis.

Original languageEnglish
Title of host publicationChanggeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital
Pages232-236
Number of pages5
Volume21
Edition2
Publication statusPublished - 1998
Externally publishedYes

Fingerprint

Hemobilia
Jaundice
Pancreatitis
Hepatocellular Carcinoma
Abdominal Pain
Literature
Chills
Cholecystitis
Cholangiography
Cholestasis
Hepatitis B virus
Abdomen
Laparotomy
Shock
Emergencies
Fever
Tomography
Hemorrhage
Liver

Cite this

Hsu, C. L., Wang, C. H., Chen, R. J., & Chen, T. C. (1998). Hepatocellular carcinoma presenting as jaundice, hemobilia, and acute pancreatitis: a case report. In Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital (2 ed., Vol. 21, pp. 232-236)

Hepatocellular carcinoma presenting as jaundice, hemobilia, and acute pancreatitis : a case report. / Hsu, C. L.; Wang, C. H.; Chen, R. J.; Chen, T. C.

Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. Vol. 21 2. ed. 1998. p. 232-236.

Research output: Chapter in Book/Report/Conference proceedingChapter

Hsu, CL, Wang, CH, Chen, RJ & Chen, TC 1998, Hepatocellular carcinoma presenting as jaundice, hemobilia, and acute pancreatitis: a case report. in Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. 2 edn, vol. 21, pp. 232-236.
Hsu CL, Wang CH, Chen RJ, Chen TC. Hepatocellular carcinoma presenting as jaundice, hemobilia, and acute pancreatitis: a case report. In Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. 2 ed. Vol. 21. 1998. p. 232-236
Hsu, C. L. ; Wang, C. H. ; Chen, R. J. ; Chen, T. C. / Hepatocellular carcinoma presenting as jaundice, hemobilia, and acute pancreatitis : a case report. Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. Vol. 21 2. ed. 1998. pp. 232-236
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