2018 Volume 32 Issue 5 Pages 908-917
A 38-year-old man who has family histories of stomach cancers and esophageal cancer was referred to our hospital because of suspicion of cholangiocarcinoma. We performed biopsies of bile duct many times, but no malignant neoplasms was seen. On the other hand, ulcerative colitis (UC) was revealed in colonoscopy and adenocarcinoma was detected by biopsy from 0-Is polyp in rectum. We performed laparoscopy-assisted proctocolectomy taking priority over performing pancreaticoduodenectomy. One month later, adenocarcinoma was detected by biopsy from bile duct, and we performed pancreaticoduodenectomy.
We report a very rare case in Japan of juvenile UC accompanied by rectal cancer and distal cholangiocarcinoma without PSC.
