Obstructive Jaundice as the Initial Manifestation of Gastric Adenocarcinoma.
| Autor: | Ansari SM; Diagnostic Radiology, Rush University Medical Center, Chicago, USA., Patel D; Radiology, Seth Gordhandas Sunderdas Medical College, King Edward Memorial Hospital, Mumbai, IND., Aswani Y; Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA., Bairy A; Radiology, Seth Gordhandas Sunderdas Medical College, King Edward Memorial Hospital, Mumbai, IND., Narvel H; Internal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Dec 13; Vol. 14 (12), pp. e32478. Date of Electronic Publication: 2022 Dec 13 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.32478 |
| Abstrakt: | A 52-year-old female presented with epigastric pain, yellowing of the sclera, and vomiting for three weeks. Laboratory investigations revealed markedly elevated serum bilirubin and alkaline phosphatase levels, accompanied by a modest rise in transaminases. A clinical diagnosis of obstructive jaundice was established. Ultrasound of the abdomen depicted a mass in the region of the head of the pancreas. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an infiltrative gastric mass spreading across the gastroduodenal junction and involving the ampulla of Vater. Owing to comorbid conditions and widespread lymphadenopathy, a palliative gastrojejunostomy with excision biopsy was performed. Histopathology confirmed an undifferentiated gastric adenocarcinoma. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Ansari et al.) |
| Databáze: | MEDLINE |
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