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Obstructive jaundice caused by lymphangitis carcinomatosa of bile duct wall from gastric carcinoma
1Department of Radiology, Kanazawa University, School of Medicine, Kanazawa City, Japan.
Abdominal Imaging
|March 28, 1998
Abstract:
We report a case of advanced gastric carcinoma presenting with obstructive jaundice. Computed tomography showed marked lymphadenopathy in the hepatoduodenal ligament and concentric bile duct wall thickening. Histologically, extrahepatic bile duct wall was thickened due to submucosal lymphangitic spread of gastric carcinoma (lymphangitis carcinomatosa). Lymphangitis carcinomatosa may be considered when extrahepatic bile duct wall thickening is seen in patients with obstructive jaundice.