scholarly journals Obstructive Jaundice Secondary to Pancreatic Head Metastasis of Malignant Amelanotic Melanoma as the First Clinical Manifestation

2021 ◽  
Vol 122 (1) ◽  
pp. 45-51
Author(s):  
Jan Zeman ◽  
Lucie Olivová ◽  
Jan Hrudka ◽  
Jan Hajer ◽  
Ivan Rychlík
Keyword(s):  
Malignant Melanoma ◽  
Obstructive Jaundice ◽  
Clinical Manifestation ◽  
Biological Treatment ◽  
High Probability ◽  
Multidisciplinary Approach ◽  
Pancreatic Head ◽  
Amelanotic Melanoma ◽  
The Common ◽  
Head Of Pancreas

Malignant melanoma is commonly known for its high probability of metastasizing to distant organs. Metastases to gastrointestinal tract are well documented, but resulting jaundice is only scarcely seen. We present a case of histologically verified metastasis of amelanotic melanoma to the head of pancreas infiltrating the common bile duct and consequently causing obstructive jaundice which constituted its first clinical manifestation. Multidisciplinary approach is essential in patients with malignant melanoma since early detection of the melanoma or its metastases may improve patients’ clinical outcome, especially owing to the use of targeted biological treatment without any delay.

Obstructive Jaundice as the First Clinical Manifestation of a Metastatic Malignant Melanoma in the Ampulla of Vater

1999 ◽  
Vol 29 (2) ◽  
pp. 188-189 ◽  
Author(s):  
Eloy Caballero-Mendoza ◽  
Santiago Gallo-Reynoso ◽  
Julián Arista-Nasr ◽  
Arturo Angeles-Angeles
Keyword(s):  
Malignant Melanoma ◽  
Obstructive Jaundice ◽  
Clinical Manifestation ◽  
Metastatic Malignant Melanoma ◽  
Ampulla Of Vater

scholarly journals Malignant obstructive jaundice; NCI Cairo University study: Review of 232 patients

2019 ◽  
Vol 9 (1) ◽  
pp. 10
Author(s):  
Ashraf Sobhy Zakaria ◽  
Mohammed Gamil ◽  
Nelly Hassan Ali Eldin ◽  
Ali Hassan Mebed
Keyword(s):  
Obstructive Jaundice ◽  
Pancreatic Head ◽  
Ampullary Carcinoma ◽  
Malignant Obstructive Jaundice ◽  
Head Cancer ◽  
Additional Advantage ◽  
Pancreatic Head Cancer ◽  
Etiological Spectrum ◽  
Diagnostic Modalities ◽  
Head Of Pancreas

Background: Obstructive jaundice is a common problem in the medical and surgical gastroenterological practice. Malignant obstructive jaundice can be caused by cancer head of pancreas, periampullary carcinoma, carcinoma of the gall bladder and cholangiocarcinomas.Objective: To review the etiological spectrum of malignant obstructive jaundice in NCI Cairo university during a period of 3 years (2008 till 2010).Patients and methods: Retrospective study including 232 patients who presented with malignant obstructive jaundice between (2008 to 2010). Data were collected from the biostatistics and cancer epidemiology department.Results: Out of 232 patients; 156 (67.2%) were male and 76 (32.8%) were female; the median age of the study population was 49 years (range 19-80 years). Our results indicate that the expression of CXCR4 and mTOR may be poor prognostic biomarkers in DLBCL. The commonest cause of malignant obstructive jaundice was pancreatic head cancer, 72% (167/232), followed by the ampullary carcinoma 15% (36/232). The last cause was cholangiocarcinoma 12.5% (29/233). Regarding the commonest symptom; clay colored stools (98.7%) was more frequent in patients with malignant disease whereas abdominal pain (97.7%) was2nd common symptom.Conclusion: Obstructive jaundice is more common among males and cancer head of pancreas is the commonest malignancy. US, ERCP and CT-Scan are important diagnostic modalities for evaluation of patient with obstructive jaundice with ERCP having the additional advantage of being therapeutic as well.

scholarly journals A rare anastomosis between the root of common hepatic artery and proper hepatic artery: implications for pancreaticoduodenectomy

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Takeshi Morinaga ◽  
Katsunori Imai ◽  
Keisuke Morita ◽  
Kenichiro Yamamoto ◽  
Satoshi Ikeshima ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Hepatic Artery ◽  
Pancreatic Head ◽  
Common Hepatic Artery ◽  
Arterial Flow ◽  
Anastomotic Site ◽  
Proper Hepatic Artery ◽  
Arterial Reconstruction ◽  
Hepatic Arterial Flow ◽  
The Common

Abstract Background Hepatic artery anomalies are often observed, and the variations are wide-ranging. We herein report a case of pancreatic cancer involving the common hepatic artery (CHA) that was successfully treated with pancreaticoduodenectomy (PD) without arterial reconstruction, thanks to anastomosis between the root of CHA and proper hepatic artery (PHA), which is a very rare anastomotic site. Case presentation A 78-year-old woman was referred to our department for the examination of a tumor in the pancreatic head. Contrast-enhanced computed tomography (CT) revealed a low-density tumor of 40 mm in diameter located in the pancreatic head. The involvement of the common hepatic artery (CHA), the root of the gastroduodenal artery (GDA), and portal vein was noted. Although such cases would usually require PD with arterial reconstruction of the CHA, it was thought that the hepatic arterial flow would be preserved by the anastomotic site between the root of the CHA and the PHA, even if the CHA was dissected without arterial reconstruction. PD with dissection of the CHA and PHA was safely completed without arterial reconstruction, and sufficient hepatic arterial flow was preserved through the anastomotic site between the CHA and PHA. Conclusion We presented an extremely rare case of an anastomosis between the CHA and PHA in a patient with pancreatic cancer involving the CHA. Thanks to this anastomosis, surgical resection was successfully performed with sufficient hepatic arterial flow without arterial reconstruction.

scholarly journals Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

2021 ◽  
Vol 5 (02) ◽  
pp. 127-130
Author(s):  
Kazuki Matsushita ◽  
Ken Kageyama ◽  
Natsuhiko Kameda ◽  
Yurina Koizumi ◽  
Akira Yamamoto
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Transarterial Chemoembolization ◽  
Tumor Invasion ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Intraductal Tumor ◽  
Bile Duct Invasion ◽  
The Common

AbstractHepatocellular carcinoma (HCC) with bile duct invasion is considered rare. A case in which a fragment of intraductal tumor dropped into the common bile duct after transarterial chemoembolization (TACE) and caused abdominal pain, and obstructive jaundice secondary to biliary obstruction is presented. This case was successfully managed by emergent endoscopic sphincterotomy. Physicians should recognize one of the complications due to TACE for HCC with intraductal tumor invasion.

Obstructive jaundice caused by circumscript papillomatosis of the common bile duct

2000 ◽  
Vol 32 (2) ◽  
pp. 88-89
Author(s):  
P. Ondrejka ◽  
A. Zabo ◽  
E. Siket ◽  
I. Sugar ◽  
B. Forgacs ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
The Common

EXPERIENCE OF EVALUATION OF PATIENTS OF OBSTRUCTIVE JAUNDICE BY SONOGRAPHY AND MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY AT A TERTIARY CARE CENTRE IN EASTERN INDIA

2021 ◽  
pp. 61-64
Author(s):  
Santosh Kumar Prasad ◽  
Nupur Nupur ◽  
Akshit Pathak ◽  
Indra Shekhar Thakur ◽  
Vijay Shankar Prasad
Keyword(s):  
Magnetic Resonance ◽  
Obstructive Jaundice ◽  
Hepatic Duct ◽  
Tertiary Care ◽  
Pancreatic Head ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Stricture Formation ◽  
Tertiary Care Centre ◽  
Left Hepatic Duct ◽  
Cross Sectional

INTRODUCTION: Jaundice means yellow due to the yellowish discolouration of skin, sclera, and mucous membrane seen in jaundice caused by bilirubin pigment. It is divided in to two forms obstructive(surgical) and non- obstructive (non-surgical). AIM AND OBJECTIVE: To evaluate patients of obstructive jaundice by sonography and magnetic resonance cholangiopancreatography and compare the reporting and ndings by both the modalities. MATERIALS AND METHODS: Cross sectional observational study done from November 2018 to October 2020 and consists of 32 patients who had clinical jaundice and consented to being subjected to both ultrasound and MRCP. OBSERVATIONS:Both USG and MRCP were able to detect extrahepatic CBD dilatation equally in 25 patients. In 5(15.6%) patients USG and MRI both demonstrated intrahepatic mass causing obstruction at the level of conuence of right and left hepatic duct or CHD. Ultrasonography was able to detect the intrinsic mass of the extrahepatic common bile duct in 2(6.2%) patients out of 32 patients in our study population. MRCP could detect the same in 6(18.7%) patients. In our study narrowing of CBD with stricture formation and upstream dilatation of biliary tree was identied in 10(31.2%) patients on MRCP. Ultrasound could diagnose the same in one patient. Both USG and MRCP were able to detect pancreatic head mass as well as pseudocyst. CONCLUSION: The accuracy of MRCP was found to be comparable to that of ERCP for diagnosis of etiology for obstructive jaundice. MRCP allows better lesion characterization and assessment. However, the patchy availability of MR machines become the main achilles heel for the surgeons as well as the radiologists. Hence the valuable role of the omnipresent ultrasonography become immense.

Mechanical jaundice caused by common bile duct obstruction due to hepato-biliary ascariasis

2021 ◽  
pp. 20-24
Author(s):  
Zaipula Zulbegovich Nazhmudinov ◽  
Abdulkamal Guseynovich Guseynov
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Surgical Intervention ◽  
Duct Obstruction ◽  
Biliary Ascariasis ◽  
Modern Methods ◽  
Common Bile Duct Obstruction ◽  
The Common ◽  
The Right

The paper presents a case of successful surgical treatment of a patient with common bile duct ascariasis, which caused obstructive jaundice. Modern methods of examining a patient with obstructive jaundice did not allow to make the right diagnosis of the common bile duct ascariasis before surgical intervention. The rarity of this pathology arouses interest in this material.

Digital Volar Amelanotic Malignant Melanoma in a Child

1987 ◽  
Vol 12 (1) ◽  
pp. 117-119
Author(s):  
P. CHAPMAN ◽  
A. BANERJEE ◽  
J. R. ANDERSON ◽  
B. G. H. LAMBERTY
Keyword(s):  
Malignant Melanoma ◽  
Unusual Case ◽  
Amelanotic Melanoma ◽  
Amelanotic Malignant Melanoma

Malignant melanoma in childhood is rare. An unusual case of amelanotic melanoma of the volar thumb in a fourteen-year-old boy which posed problems of recognition and management is presented.

Research of Treatment Technology for Electroplating Wastewater

2014 ◽  
Vol 487 ◽  
pp. 713-716 ◽  
Author(s):  
Yi Dan Zhou ◽  
Miao Sun ◽  
Li Juan Wang ◽  
Guan Nan Xi
Keyword(s):  
Waste Water ◽  
Wastewater Treatment ◽  
Electrochemical Method ◽  
Chemical Process ◽  
Biological Treatment ◽  
Chemical Method ◽  
Treatment Technology ◽  
Electroplating Wastewater ◽  
The Common ◽  
Physical And Chemical

The sources and composition of electroplating waste water are summarized. The common wastewater treatment technology, such as physical and chemical method, physic-chemical process, biological treatment and electrochemical method, and so on. Then the vision for the development of electroplating wastewater treatment technology is made.

An unusual cause of obstructive jaundice due to a bullet impacted in the common bile duct

2014 ◽  
Vol 4 (3) ◽  
pp. 139-140
Author(s):  
Tejal Bhoy ◽  
Piyush Ranjan ◽  
Vivek Mangla
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
The Common
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