Euroasian journal of hepato-gastroenterology

Register      Login

VOLUME 11 , ISSUE 2 ( July-December, 2021 ) > List of Articles


Metastatic Biliary Stricture with “Beaded” Appearance from Cervical Adenocarcinoma

Soon Liang Lee, Jasminder Sidhu, Chiun Yann Ng

Keywords : Biliary stricture, Cervical adenocarcinoma, Endoscopic retrograde cholangiopancreatography, Endoscopic ultrasound

Citation Information : Lee SL, Sidhu J, Ng CY. Metastatic Biliary Stricture with “Beaded” Appearance from Cervical Adenocarcinoma. Euroasian J Hepatogastroenterol 2021; 11 (2):97-99.

DOI: 10.5005/jp-journals-10018-1350

License: CC BY-NC 4.0

Published Online: 22-10-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Cervical adenocarcinoma accounts for 25% of invasive cervical cancer which frequently metastasize distantly to the lungs, liver, bone, and brain. Metastases to the common bile duct from cervical cancer are exceedingly rare with few reported cases in the literature. Diagnosis of bile duct metastases from cervical cancer can be established with endoscopic ultrasound-guided fine-needle aspiration cytology, biliary cytobrushing, or direct cholangioscopy with biopsy, and this would guide further therapies such as endoscopic biliary drainage and systemic chemotherapy. We hereby present a rare case of obstructive jaundice from metastatic biliary stricture with “beaded” appearance in a patient with cervical adenocarcinoma.

  1. Gardner AB, Charo LM, Mann AK, et al. Ovarian, uterine, and cervical cancer patients with distant metastases at diagnosis: most common locations and outcomes. Clin Exp Metastasis 2020;37(1):107–113. DOI: 10.1007/s10585-019-10007-0.
  2. Nishimura C, Naoe H, Hashigo S, et al. Pancreatic metastasis from mixed adenoneuroendocrine carcinoma of the uterine cervix: a case report. Case Rep Oncol 2013;6(2):256–262. DOI: 10.1159/000351308.
  3. Levey JM. Endoscopic biliary drainage for metastatic squamous cell carcinoma of the cervix. Gastrointest Endosc 2000;51(1):97–99. DOI: 10.1016/s0016-5107(00)70401-9.
  4. Vitellas KM, Keogan MT, Freed KS, et al. Radiologic manifestations of sclerosing cholangitis with emphasis on MR cholangiopancreatography. Radiographics 2000;20(4):959–975. DOI: 10.1148/radiographics.20.4.g00jl04959.
  5. Novikov A, Kowalski TE, Loren DE. Practical management of indeterminate biliary strictures. Gastrointest Endosc Clin N Am 2019;29(2):205–214. DOI: 10.1016/j.giec.2018.12.003.
  6. Katabathina VS, Dasyam AK, Dasyam N, et al. Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics 2014;34(3):565–586. DOI: 10.1148/rg.343125211.
  7. Wang CC, Yang TW, Sung WW, et al. Current endoscopic management of malignant biliary stricture. Medicina (Kaunas) 2020;56(3):114. DOI: 10.3390/medicina56030114.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.