Abstract
A 75-year-old man with distal bile duct carcinoma underwent pancreatoduodenectomy after percutaneous transhepatic biliary drainage (PTBD) punctured from S3 for obstructive jaundice and diagnosis, because canulation via the ampulla of Vater was unsuccessful. Thirty-two months after the operation, an enhanced abdominal CT scan detected a 10mm low density lesion in the liver surface (S3). As it was diagnosed as isolated recurrence of bile duct carcinoma, we resected the liver (S3) and the abdominal wall where were included in the route of PTBD catheter after 6 courses of gemcitabine therapy. Pathological findings showed the same moderately differentiated adenocarcinoma cells as former bile duct carcinoma. We report herein the case of distal bile duct carcinoma with metastatic seeding to the PTBD tract after curative resection.
