Abstract
A 71-year-old man, resident in China, visited a local hospital there with chief complaints of jaundice and brown urine, and was diagnosed with obstructive jaundice. After returning to Japan, he was admitted to our hospital for further evaluation and treatment. PTBD performed after admission, demonstrated a massive number of Clonorchis sinensis eggs in the drained bile, resulting in the diagnosis of clonorchiasis. In addition, CT scan and MRCP findings led to the diagnosis of cancer of the head of the pancreas. Praziquantel administration resulted in the elimination of numerous flukes via the drainage tube, but there was no subsequent improvement in jaundice. His general condition deteriorated, and he died of liver failure on the 61st hospital day. In the absence of demonstrable liver flukes in the pancreatic ducts at the time of autopsy. There have been very few reports of a combination of these two conditions, and so this case is of interest.
