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Case Reports in Surgery
Volume 2014, Article ID 502061, 4 pages
Case Report

Hepatocellular Carcinoma Presenting with Obstructive Jaundice during Pregnancy

1Department of Liver Surgery, The First People's Hospital of Foshan, Foshan, Guangdong 528000, China
2Department of Hepatobiliary Surgery, The First People’s Hospital of Foshan, Foshan, Guangdong 528000, China
3Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong

Received 16 May 2014; Accepted 20 July 2014; Published 5 August 2014

Academic Editor: Marcello Picchio

Copyright © 2014 Huan-wei Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Both hepatocellular carcinoma (HCC) presenting during pregnancy and HCC presenting with obstructive jaundice due to a tumor cast in the biliary tract are very rare. The management of these patients remains challenging. Presentation of Case. A 23-year-old lady presented with obstructive jaundice at 38 weeks of gestation. Investigations showed HCC with a biliary tumor thrombus. She received percutaneous transhepatic biliary drainage (PTBD) and caesarean section. Right hepatectomy, extrahepatic bile duct resection, and left hepaticojejunostomy were carried out when the jaundice improved. The postoperative course was uneventful. She was discharged home on postoperative day 10. Histopathology showed HCC with a tumor thrombus in the bile duct. The surgical margins were clear. One year after surgery, the mother was disease-free and the baby was well. Conclusion. With proper management, curative treatment is possible in a pregnant patient who presented with obstructive jaundice due to a biliary tumor thrombus from HCC.