Obstructive Jaundice Due to Retroperitoneal Fibrosis Involving the Head of the Pancreas

1994 ◽  
Vol 18 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Mitchell S. Cappell
Keyword(s):  
Obstructive Jaundice ◽  
Retroperitoneal Fibrosis ◽  
Head Of The Pancreas

scholarly journals Lymphoplasmacytic Sclerosing Pancreatitis and Retroperitoneal Fibrosis

HPB Surgery ◽  
2008 ◽  
Vol 2008 ◽  
pp. 1-3
Author(s):  
Nigel K. F. Koo Ng ◽  
Jin J. Bong ◽  
Robin C. Williamson
Keyword(s):  
Weight Loss ◽  
Obstructive Jaundice ◽  
Retroperitoneal Fibrosis ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Frozen Sections ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
Biliary Bypass ◽  
Lymphoplasmacytic Sclerosing Pancreatitis ◽  
Sclerosing Pancreatitis

Although cases of lymphoplasmacytic sclerosing pancreatitis (LSP) associated with idiopathic retroperitoneal fibrosis have been reported, the association is rare. We describe a 74-year-old man who presented with obstructive jaundice and weight loss. Nineteen months earlier, he had been diagnosed with idiopathic retroperitoneal fibrosis and treated with bilateral ureteric stents. Initial investigations were suggestive of a diagnosis of LSP, however, a malignant cause could not be ruled out. He underwent an exploratory laparotomy and frozen sections confirmed the diagnosis of LSP. An internal biliary bypass was performed using a Roux loop of jejunum, and the patient made an uneventful recovery. This case illustrates the difficulty in distinguishing LSP from pancreatic carcinoma preoperatively.

scholarly journals Obstructive Jaundice Induced by a True Cyst in the Head of the Pancreas

2014 ◽  
Vol 47 (11) ◽  
pp. 697-703
Author(s):  
Hiroki Aoyama ◽  
Yasuhiro Kurumiya ◽  
Ei Sekoguchi ◽  
Satoshi Kobayashi ◽  
Yasuyuki Fukami ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Head Of The Pancreas ◽  
True Cyst

scholarly journals Study of obstructive jaundice in adult: association between clinical diagnosis and operative "ndings

2019 ◽  
Vol 47 (1) ◽  
pp. 33-36
Author(s):  
Mohammad Golam Masum ◽  
ABM Sarwar Jahan ◽  
Md Rezwanul Haque Robbani ◽  
Fayed Chowdhuray ◽  
Mohammed Faroque Hossain
Keyword(s):  
Obstructive Jaundice ◽  
Clinical Diagnosis ◽  
Pancreatic Head ◽  
Serum Bilirubin Level ◽  
Female Ratio ◽  
Head Of The Pancreas ◽  
Average Rise ◽  
Operative Findings ◽  
Medical University ◽  
Male To Female

Obstructive jaundice is a condition in which there is blockage of the flow of bile out of the liver. To find out the correlation between clinical diagnosis and operative findings of patients having obstructive jaundice. This prospective observational study was conducted at the Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2008 to April 2009. Fifty clinically diagnosed obstructive jaundice cases were enrolled in this study. A detailed history was taken and thorough physical examination was done. Also necessary haematological, biochemical, radiological and other special investigations were carried out.  In this study, mean age of the patients was 42.9 years and male to female ratio was 1:1.17. The most frequent cause was choledocholithiasis (40%), stricture of CBD (6.0%), retained stone (14.0%), parasitic obstruction (4.0%), carcinoma (30.0%) and other cause (6.0%). Serum bilirubin level was below 10mg/dl in all cases of stricture of CBD. It was above 15mg/dL in cases of carcinoma head of the pancreas. The rise of Serum alkaline phosphates level was up to 3 folds in cases with choledocholithiasis, biliary stricture and pancreatic head malignancy. The average rise in other cases was 1 to 2 folds. Sensitivity and specificity of pre operative clinical diagnosis of choledocholithiasis, carcinoma and retain stone was 86.4 & 96.4%, 92.3 & 91.9% and 71.4 & 95.3% respectively. Pre operative clinical diagnosis of obstructive jaundice is a good diagnosis tool in diagnosis of causes of obstructive jaundice. Bangladesh Med J. 2018 Jan; 47 (1): 33-36

Hydatid Cyst in the Head of the Pancreas with Obstructive Jaundice

1995 ◽  
Vol 20 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Eric R. Lemmer ◽  
Jake E.J. Krige ◽  
Steven K. Price ◽  
Andrew H. Girdwood
Keyword(s):  
Obstructive Jaundice ◽  
Hydatid Cyst ◽  
Head Of The Pancreas

scholarly journals Autoimmune pancreatitis with associated ulcerative colitis in a teenager

2018 ◽  
Vol 11 (1) ◽  
pp. e227888
Author(s):  
Carolina Isabel Gouveia ◽  
Laura Oliveira ◽  
António P Campos ◽  
José Cabral
Keyword(s):  
Ulcerative Colitis ◽  
Pancreatic Cancer ◽  
Chronic Pancreatitis ◽  
Obstructive Jaundice ◽  
Autoimmune Pancreatitis ◽  
Pancreatic Mass ◽  
Rare Entity ◽  
Clinical Challenge ◽  
Head Of The Pancreas

Autoimmune pancreatitis (AIP) is a rare entity that is extremely uncommon in children. Its diagnosis is also a clinical challenge. This form of chronic pancreatitis often presents itself with obstructive jaundice and/or a pancreatic mass and it is sometimes misdiagnosed as pancreatic cancer. We describe the case of a 13-year-old boy with obstructive jaundice and a 4 cm mass in the head of the pancreas that was diagnosed as AIP with associated ulcerative colitis.

scholarly journals Substantiation of the method for resolving obstructive jaundice in operable patients with malignant hepatopancreatobiliary tumors

2021 ◽  
Vol 179 (6) ◽  
pp. 11-17
Author(s):  
P. N. Romashchenko ◽  
N. A. Maistrenko ◽  
A. I. Kuznetsov ◽  
A. S. Pryadko ◽  
A. K. Aliev
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Radical Surgery ◽  
Malignant Tumors ◽  
Malignant Neoplasms ◽  
Klatskin Tumor ◽  
Bile Duct Resection ◽  
Head Of The Pancreas

The OBJECTIVE was to determine the best option for decompression of the biliary tract in patients with malignant neoplasms of the hepatopancreatobiliary zone to resolve obstructive jaundice before performing radical surgery.METHODS AND MATERIALS. The study of the results of examination and surgical treatment of 325 patients with mechanical jaundice caused by malignant tumors of the hepatopancreatobiliary zone allowed us to identify 93 (28.6 %) patients who initially underwent drainage operations on the bile ducts, and then radical surgical interventions.RESULTS. Stage I of the oncological process according to the TnM system (8 reconsideration) was determined in 16 (17.2 %) patients, stage II – in 71 (76.3 %) and stage III – in 6 (6.5 %). According to the ECOG scale, I or II scores were determined in all patients before radical surgery. Tumors of the head of the pancreas, common bile duct and large papilla of the duodenum led to the I level of biliary tract blockage in 81.7 % of patients. Tumors of the common bile duct and head of the pancreas (involving the cystic duct), tumors of the gallbladder and Klatskin (Bismuth–Corlette I) caused the II level of biliary tract blockage in 12.9 % of the examined patients. Klatskin tumor (Bismuth–Corlette II, IIIa, IIIb,) caused bile duct blockage of III level (5.4 % of patients). Pancreatoduodenal resection was performed in 85 patients, endoscopic papillectomy – 3, bile duct resection – 2 and bile duct resection in combination with liver resection – 3. The choice of a rational option for decompression of the biliary tract, taking into account the level of their blockage and the severity of the general somatic condition of patients, provides the possibility of performing radical surgery.CONCLUSION. Before performing radical surgery, obstructive jaundice in operable patients with malignant tumors of the hepatopancreatobiliary zone at the blockage of I level can be effectively and safely resolved by cholecystostomy, at the blockage of II level – endoscopic stenting, while the blockage of III level – percutaneous-transhepatic cholangiodrainage.

scholarly journals “Stomach mass” as the first manifestation of IgG4-related disease: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fulong Zhang ◽  
Jing Xu ◽  
Yuandong Zhu ◽  
Qianneng Wu ◽  
Xincheng Xie ◽  
...  
Keyword(s):  
Retroperitoneal Fibrosis ◽  
Financial Burden ◽  
Normal Range ◽  
Initial Manifestation ◽  
Case Presentation ◽  
Related Disease ◽  
Igg4 Related Disease ◽  
Serum Igg4 ◽  
Head Of The Pancreas ◽  
Igg4 Level

Abstract Background IgG4-related disease mainly manifests as organomegaly and is accompanied by tissue fibrosis (Mimori, Mod Rheumatol 29(2):213, 2019) which is frequently confused with tumour (Dawei et al., J Gastroenterol Hepatol 29(12):1375–8, 2020). There are few reports with of IgG4-related disease with the first clinical manifestation involving the stomach. Case presentation We present the case of 46-year-old male patient with a “stomach tumour” as the first manifestation of IgG4-related disease. Gastroscopy showed a mass in the stomach, however, the pathology result was chronic inflammation with IgG4 positivity. CT scans of abdomen showed that the stomach wall was thick, the head of the pancreas was swollen, and retroperitoneal fibrosis was severe.The serum IgG4 level was 75 g/L (normal range 0.03–2.01 g/L).After treatment with methylprednisolone for one month, the symptoms were greatly relieved. Conclusions To reduce the suffering of patients and relieve their financial burden, we should consider the possibility of IgG4-related disease when the initial manifestation is a stomach mass.

scholarly journals Autoimmune Pancreatitis Presenting as Obstruction Jaundice

2012 ◽  
Vol 29 (4) ◽  
pp. 231-234
Author(s):  
MA Rahman ◽  
IK Datta ◽  
R Bhuyian ◽  
TM Bhuiyan ◽  
MM Kabir ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Chronic Pancreatitis ◽  
Obstructive Jaundice ◽  
Organ Dysfunction ◽  
Autoimmune Pancreatitis ◽  
Inflammatory Process ◽  
Initial Diagnosis ◽  
Lymphocyte Infiltration ◽  
Head Of The Pancreas

Autoimmune pancreatitis is a type of chronic pancreatitis characterized by an autoimmune inflammatory process in which prominent lymphocyte infiltration with associated fibrosis of the pancreas causes organ dysfunction. Clinically it is very important to be aware of autoimmune pancreatitis because autoimmune chronic pancreatitis (AIP) can clinically disguise as pancreaticobiliary malignancies, ordinary chronic or acute pancreatitis.  Here we report a case of autoimmune pancreatitis presented with obstructive jaundice with initial diagnosis of carcinoma of head of the pancreas. DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11344 J Bangladesh Coll Phys Surg 2011; 29: 231-234

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