Abstract

Klatskin Tumor also known as Hilar Cholangiocarcinoma is a cancer that affect Bilary tree predominantly at the bifurcation of the common hepatic duct. Of all diagnosed cancers, Cholangiocarcinoma accounts for approximately 2% with an overall incidence of 1.2 per 100,000 individuals. The etiology of cholangiocarcinoma is undefined although Primary sclerosing cholangitis has been clearly associated with the development of cholangiocarcinoma in up to 40% of patients. A 45 year old male patient presented to surgical OPD with complaints of severe pain in abdomen, vomitings and pruritis with severe jaundice. The Past Medical History indicates that the patient had high grade intermittent fever,Watery diarrhoea 4-5 episodes /day since two days. His personal history revealed of decreased appetite since one month and yellowing discolouration of eyes and trunk since one month. The Condition was evaluated using specific Diagnostic procedures like computed Tomography and Ultrasonography of Abdomen, Magnetic Resonance Cholangiopancreatography and laboratory findings like LFT which confirmed for Hilar Cholangiocarcinoma. The patient started Dr.Appa Raos treatment on the day of his visit and used medication for one month. A remarkable improvement was noted with Dr.Appa Raos treatment and the patient turned well.

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