Forty-nine years old man was admitted to the Okura National Hospital, complaining of tarry stool. Hypotonic duodenography revealed nische and its surrounding filling defect of duodeno-jejunal junction. Endoscopic examination with the fiber-duodenoscope was performed and diagnosed the cancer with bleeding ulcer. The lesion was resected totally and histology was adenocarcinoma.
The 34-year-old man diagnosed as diabetes mellitus complained of a slight fever, a cough and sputa. The origin was not revealed by liver biopsy, laparoscopy and some other clinical ex aminations. But, the percutaneous transhepatic cholangiography (PTC) showed the biliobronchial fistula. The final diagnosis was liverabscess with biliobronchial fistula.