Biliobronchiale Fistel bei Hepaticusgabelkarzinom

Autor:	H. J. Kistler, B. Christen, G. Junga, B. Caduff
Rok vydání:	1992
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Fistula General Medicine Jaundice medicine.disease Gastroenterology Biliary tract Internal medicine medicine Carcinoma Adenocarcinoma Sputum Cholecystectomy medicine.symptom Hepatectomy business
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 117:1913-1917
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1062529
Popis:	Carcinoma of the hepatic duct bifurcation was diagnosed in a 67-year-old women with obstructive jaundice. As metastatic spread could not be demonstrated the carcinoma was removed with a view of achieving a cure (hemihepatectomy, resection of the hepatic duct and the bifurcation, cholecystectomy and hepatojejunostomy). Histological examination indicated adenocarcinoma of the biliary tract. Seven months postoperatively the patient was found to be cachectic and cough up greenish liquid sputum. Bilirubin concentration in sputum was 500 mumol/l. There was no jaundice and total bilirubin concentration was 33 mumol/l. Alkaline phosphatase was 508 U/l, but GOT and GPT were normal (23 U/l and 21 U/l). Computed tomography confirmed the clinical diagnosis of a biliobronchial fistula. The patient died 9 days after renewed hospitalization of tumour cachexia. The biliobronchial fistula was found at necropsy.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::135911387c3fba620c2c33d4691e2555 https://doi.org/10.1055/s-2008-1062529 Zobrazit plný text záznamu