Uncommon presentation of a common disease
Autor: | Sunitha Vellathussery Chakkalakkoombil, Sathya Narayanan Renganathan |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty Cholangiopancreatography Magnetic Resonance medicine.medical_treatment Malignancy Tuberculosis Endocrine Article Diagnosis Differential Imaging Three-Dimensional Pancreatectomy Laparotomy Biopsy Medicine Humans Common bile duct medicine.diagnostic_test business.industry General Medicine medicine.disease medicine.anatomical_structure Pancreatitis Radiology business Pancreas Chest radiograph Tomography X-Ray Computed |
Zdroj: | BMJ case reports. 2014 |
ISSN: | 1757-790X |
Popis: | A 41-year-old man with no comorbidities presented with obstructive jaundice of 2 months duration. Abdominal ultrasound undertaken at another institution revealed choledocholithiasis and he underwent open laparotomy. Intraoperatively a solid pancreatic head mass was found which raised the suspicion of malignancy. A biopsy was taken from it and surgery was deferred. Postoperative contrast-enhanced CT and MR cholangio pancreatography revealed a heterogeneous mass lesion in the head of the pancreas (figure 1), short segment strictures (figure 2) of common bile duct (CBD) and choledocholithiasis. A chest radiograph revealed an inhomogeneous opacity in the apex of the left … |
Databáze: | OpenAIRE |
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