Sarcomatoid carcinoma of the common bile duct presenting as painless jaundice.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
09 Nov 2023
Historique:
pmc-release: 09 11 2025
medline: 13 11 2023
pubmed: 10 11 2023
entrez: 9 11 2023
Statut: epublish

Résumé

A woman in her 70s presented with painless jaundice and index biopsy of a common bile duct (CBD) mass obtained by endoscopic retrograde cholangiopancreatography was suspicious for malignant peripheral nerve sheath tumour. Treatment consisted of pancreaticoduodenectomy, and final pathology results were consistent with sarcomatoid carcinoma. Postoperative complications included pancreaticojejunal leak, surgical wound infection, bacteraemia, myocardial injury, and significant ulceration and stricturing of the oesophagus. 14 weeks post-pancreaticoduodenectomy, the patient was found to have a perforated viscus, gastroduodenal leak and diffuse small bowel ischaemia-the patient passed away following emergent laparotomy. We aim to add to the limited literature surrounding this rare CBD neoplasm.

Identifiants

pubmed: 37945274
pii: 16/11/e257167
doi: 10.1136/bcr-2023-257167
pmc: PMC10649720
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Rachael Chan (R)

Gastroenterology, Dalhousie University, Halifax, Nova Scotia, Canada.

Ashley Stueck (A)

Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.

Michael Stewart (M)

Gastroenterology, Dalhousie University, Halifax, Nova Scotia, Canada.

Ali Kohansal (A)

Medicine, Dalhousie University, Halifax, Nova Scotia, Canada kohansal@ualberta.ca.

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