Metastatic seeding of bile duct carcinoma in the transhepatic catheter tract: Report of a case

We describe herein the case of a 51-year-old woman in whom metastatic tumor seeding of the percutanenous transhepatic biliary drainage tract occurred following a pancreatoduodenectomy for carcinoma of the distal common bile d uct, An abdominal computed tomography scan done 6 months after the initial operation detected a hepatic lesion located at the site of the previous per cutaneous transhepatic biliary drainage tract, Implantation of bile duct ca rcinoma in the drainage tract was diagnosed, and the recurrent tumor was su ccessfully resected by performing a subsegmentectomy of segment 3 and remov al of the adjacent abdominal wall. At present, 5 years and 4 months after t he second resection, the patient is hi good health without any signs of rec urrence. This case report demonstrates that an aggressive surgical approach should be performed for tumor seeding of a transhepatic biliary catheter t ract.