Yurika Imai, Masanari Sekine, Kayoko Aoyama, Shu Kojima, Goya Sasaki, Azumi Sato, Keita Matsumoto, Mina Morino, Hitomi Kashima, Yudai Koito, Takaya Miura, Yuko Takahashi, Takehiro Ishii, Rumiko Tsuboi, Haruka Otake, Shuhei Yoshikawa, Takeshi Uehara, Takeharu Asano, Satohiro Matsumoto, Hiroyuki Miyatani, Hisashi Oshiro, Hirosato Mashima
Internal medicine (Tokyo, Japan) 2023年6月21日
A 54-year-old man was admitted with obstructive jaundice. Computed tomography showed common bile duct stricture and a tumor around the celiac artery. Repeated endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic retrograde cholangiopancreatography (ERCP) as well as a laparotomic biopsy around the celiac artery were diagnostically unsuccessful. Since the bile duct stricture progressed, EUS-FNA and ERCP were performed a third time, finally leading to the diagnosis of diffuse large B-cell lymphoma. The treatment plan and prognosis of obstructive jaundice differ greatly depending on the disease. It is important to conduct careful follow-up and repeated histological examinations with appropriate modifications until a diagnosis is made.
