| Literature DB >> 20703236 |
Ilkay Kosar1, Hilmi Ataseven, Ozlem Yönem, Erol Cakmak, Ozdemir Ozer, Hatice Ozer, Omer Topçu.
Abstract
BACKGROUND: A 72-year-old hypertensive woman presented with a 2-month history of right upper quadrant abdominal pain. She had a 15-day history of jaundice, fever with chills and shivering, nausea, vomiting, weight loss and generalized pruritus. INVESTIGATIONS: Physical examination, laboratory evaluation, transabdominal ultrasonography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, brush cytology, laparotomy and histopathology. DIAGNOSIS: Bile duct duplication with coexistence of distal cholangiocarcinoma. MANAGEMENT: En bloc resection (including the duodenum, pancreatic head and adjacent lymph nodes), hepaticojejunostomy and pylorus-saving Whipple operation.Entities:
Mesh:
Year: 2010 PMID: 20703236 DOI: 10.1038/nrgastro.2010.118
Source DB: PubMed Journal: Nat Rev Gastroenterol Hepatol ISSN: 1759-5045 Impact factor: 46.802