Case report of left renal cell carcinoma with long standing retained common bile duct stent and secondary choledocholithiasis: a single-stage multidisciplinary surgical management in low resource setting.
Manzoor Ahmad, Azeem Farooqui, Ahmad Sadiq, Wasif M Ali, Mazher Alam
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Abstract
A 65-year-old male presented with a left renal mass and a retained common bile duct stent from a previous endoscopic retrograde cholangiopancreatography 2 years ago for choledocholithiasis. Imaging confirmed a lower pole renal lesion with features of renal cell carcinoma (RCC) and dilated biliary tree with sludge and a retained stent. The patient underwent single-stage surgery-left radical nephrectomy and open choledochoduedenotomy-for removal of the stent and biliary clearance through midline approach. Histopathology confirmed chromophobe RCC. This case illustrates the feasibility of patient-centred manner simultaneous surgical treatment for dual-system pathologies in a low resource setting and.
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