Biliary obstruction by liver metastases from an ovarian cancer
Progressive ovarian cancer.
Large lymphomas (abdominal
CT scan) obstruct the hepatic fork. Two
long plastic stents are inserted into the right and left
hepatic bile duct to secure bile flow.
Move the mouse´s arrow onto the picture to colour the stents.
Concomitantly
hepatic metastases are diagnosed. Cholangigraphy reveals
irregular ductalar margines with
displacement of bile ducts (arrows in the right picture),
ductular interruptions and sudden stops of contrast
filling (arrows in the left picture).
Metastasized gall bladder carcinoma
A proximal, complete
obstruction of the bile duct
secondary to cancerous proliferations of a metastasized
gall bladder carcinoma is shown. A filiforme stenosis
(circle and magnification, above right) causes jaandice.
The intrahepatic biliary ducts present very uneven, cor-
responding to liver metastases diagnosed sonographically.
Move the mouse´s arrow onto the picture to colour the stenosis.
The stenosis,
3,5 cm in length (x- ray positive ruler)
is bridged by a plastic prothesis.
Sonographically
the stent is imaged as a double
outline (ST). The same picture shows multiple
intrahepatic metastases.
Additionally a
cystic metastase, 11,2 cm in diameter,
is found in the left lower quadrant.
