An extremely rare case of distal common bile duct adenocarcinoma in a 65-year-old male patient

Vol. 59 No. 1, 2018

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Lucian Mihai Florescu, Ioana Andreea Gheonea, Dragos Ene, Dan Nicolae Florescu, Natalia Braia, Daniel Pirici, Vasile Sandru, Mircea Catalin Fortofoiu, Tudorel Ciurea

Cholangiocarcinoma is an extremely rare and highly aggressive primary malignancy of the biliary tract. The current report illustrates a rare case of distal common bile duct adenocarcinoma encountered in a 65-year-old male patient who was thoroughly investigated after presenting with a two weeks history of pain in the right hypochondrium, jaundice and unintentional weight loss (6 kg in two weeks). The medical team opted for a pancreaticoduodenectomy (Whipple procedure) managing to obtain negative resection margins of the tumor with a favorable immediate postoperative evolution. However, the surgical team was forced to reintervene twice due to complications caused mainly by the patient s disregard.

Corresponding author: Dragos Ene, MD, PhD; e-mail: dragoshene@yahoo.com

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