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A 57-year-old womanwas admitted for evaluation of liver dysfunction. A physical examination revealed jaundice and a left abdominal mass, which was diagnosed as being a large renal tumor. Cholangiography showed a smooth filling defect 1 cm in diameter at the commonbile duct. Left nephrectomy, and resection of the commonbile duct were performed. The pathological diagnosis was metastasis of the commonbile duct wall resulting from renal cell carcinoma. Metastatic commonbile duct tumors aredoi:10.2169/internalmedicine.35.720 fatcat:dh6v6fmhrfbtxm6y7holcgcssy