Abstract

Parotideal metastasis in gastrointestinal cancers, especially in pancreaticobiliary malignancies is rare. The symptoms related with parotideal metastasis might lead to atypical presentation. Hepatocolonic fistulization is also not common in cholangiocarcinoma. A 62-year old cholangiocarcinoma with atypical presentation with parotideal metastasis and later hepatocolonic fistulization is reported with review of the literature.