Metastatic Cholangiocarcinoma at Percutaneous Drain Site

We report the case of metastatic tumor recurrence at the chest wall exit site of percutaneous transhepatic biliary drainage (PTBD) catheter four months after surgical resection for cholangiocarcinoma. We discuss the risks and benefits of using PTBD catheters preoperatively in patients with planned major liver resection for malignancy.