Year 2018 / Volume 110 / Number 8
Digestive Diseases Image
Painless jaundice as an initial presentation of lung adenocarcinoma

520-521

DOI: 10.17235/reed.2018.5587/2018

Irene Andaluz García, Irene González Partida, Javier Lucas Ramos, Jorge Yebra Carmona,

Abstract
Malignant bile duct obstruction is a common entity in clinical practice and is infrequently caused by non-biliopancreatic neoplasms. We report the case of a male admitted with malignant obstruction of the biliary tract, showing after numerous studies that this obstruction was the initial presentation of a stage IV adenocarcinoma of the lung. Pulmonary neoplasms have variable behaviors being often spread at time of diagnosis, especially in the more aggressive subtypes. However, it is uncommon its manifestation as obstructive jaundice and when this happens it is usually due to liver damage and not to metastases to periampullary region that are extremely infrequent. In this case, the role of pathological anatomy and immunohistochemistry was essential in identifying the origin of the tumor and starting targeted treatment, since the clinical presentation and usual laboratory and image tests did not allow to differentiate it from a primary cholangiocarcinoma.
Share Button
New comment
Comments
No comments for this article
References
Cha IH, Kim JN, Kim YS, et al. Metastatic common bile duct cancer from pulmonary adenocarcinoma presenting as obstructivejaundice. Korean J Gastroenterol. 2013;61(1):50–53
Pericleous, S., Mukherjee, S. & Hutchins, R. R. Lung adenocarcinoma presenting as obstructive jaundice : a case report and review of literature. World Journal of Surgical Oncology 2008, 6:120
Yu, C., Yu, C., Nai, C. et al. Case Report A presenting with obstructive jaundice in pulmonary adenocarcinoma: a case report. Int J Clin Exp Med 2015;8(7):11613-11616
Related articles

Letter

Colon adenocarcinoma associated with intestinal sarcoidosis

DOI: 10.17235/reed.2022.9279/2022

Letter

An unexpected gastric cardia submucosal lesion

DOI: 10.17235/reed.2022.9260/2022

Digestive Diseases Image

Intrabiliary metastasis of colorectal adenocarcinoma: the SPY perspective

DOI: 10.17235/reed.2022.9202/2022

Digestive Diseases Image

An unusual finding in gastroesophageal surgery: gastric anthracosis

DOI: 10.17235/reed.2022.8882/2022

Letter

Mesalazine induced interstitial pneumonitis in the COVID era

DOI: 10.17235/reed.2022.8635/2021

Digestive Diseases Image

“White bile” as a result of a malignant bile obstruction

DOI: 10.17235/reed.2021.8098/2021

Letter

Colonic adenocarcinoma arising from traditional serrated adenoma

DOI: 10.17235/reed.2020.6818/2019

Digestive Diseases Image

Groove pancreatitis: a rare cause of severe gastric dilation

DOI: 10.17235/reed.2020.6765/2019

Digestive Diseases Image

Metastatic melanoma of the gallbladder: an uncommon finding

DOI: 10.17235/reed.2020.6407/2019

Case Report

Pancreatobiliary maljunction: association with gallbladder cancer

DOI: 10.17235/reed.2019.6127/2018

Digestive Diseases Image

Mirizzi syndrome: when the gallbladder meets bile ducts

DOI: 10.17235/reed.2019.5846/2018

Letter

Obstructive jaundice of a parasitic etiology

DOI: 10.17235/reed.2018.5827/2018

Editorial

Lung transplantation and esophageal dysfunction

DOI: 10.17235/reed.2018.5693/2018

Letter

Obstructive jaundice secondary to a hepatic hydatid cyst

DOI: 10.17235/reed.2018.5574/2018

Letter to the Editor

Complicated peribiliary cysts in patient without any prior liver disease

DOI: 10.17235/reed.2017.5350/2017

Digestive Diseases Image

Right-colon mucinous adenocarcinoma mimicking a hydatid cyst

DOI: 10.17235/reed.2017.5041/2017

Case Report

Metastatic Crohn’s disease in pediatrics

DOI: 10.17235/reed.2016.3948/2015

Digestive Diseases Image

Sister Mary Joseph´s nodule

Letter to the Editor

Synchronic gastric and pancreatic ductal adenocarcinoma. A case report

DOI: 10.17235/reed.2015.3720/2014

Citation tools
Andaluz García I, González Partida I, Lucas Ramos J, Yebra Carmona J. Painless jaundice as an initial presentation of lung adenocarcinoma. 5587/2018


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 981 visits.
This article has been downloaded 171 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 09/03/2018

Accepted: 15/03/2018

Online First: 23/07/2018

Published: 30/07/2018

Article Online First time: 136 days

Article editing time: 143 days


Share
This article has been rated by 5 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology