Abstract
Cholangiocarcinoma is the most common primary malignancy of the biliary tract and can be classified as intrahepatic or extrahepatic. There are definitive risk factors for this carcinoma. It is difficult to diagnose due to its silent clinical character. We present the case report of a 42-year-old woman with advanced perihilar carcinoma. She was admitted with obstructive jaundice and high bilirubin levels. A pancreaticoduodenectomy was performed. Given that a tumour at advanced stage requires duodenal and common bile duct resection, pancreaticoduodenectomy seemed to be the optimal solution. We believe that pancreaticoduodenectomy not only offers the necessary anastomoses but also the radicality.
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