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 A new way of modeling the true pancreatic cyst

2020 ◽  
Vol 174 (2) ◽  
pp. 86-90
Author(s):  
G. D. Odishelashvili ◽  
V. A. Zurnajjants ◽  
Э. А. Кчибеков ◽  
D. V. Pakhnov, ◽  
R. K. Iliasov ◽  
...  
Keyword(s):  
Pancreatic Cyst ◽  
Experimental Studies ◽  
Posterior Wall ◽  
New Method ◽  
Pancreatic Cysts ◽  
Head Of The Pancreas ◽  
One Step ◽  
Pancreas Cyst ◽  
True Cyst

Currently, the pathogenesis of the formation and development of cysts has not been fully studied. This creates the need to analyze existing and fi nd new ways to model pancreatic cysts.The aim: create a new way of modeling the true pancreatic cystMaterials and methods: in an experiment on 7 mongrel dogs, a new method of forming a model of a true cyst of the head of the pancreas was developed, by creating a reservoir from the 12-type intestine with the pancreas, with suturing to the posterior wall of the pyloric part of the stomach.Results: the model of the pancreas cyst proposed by the authors meets the criteria of the true pancreatic cyst and can be used in experimental studies of various methods of cyst treatment.Conclusions: this method is technically simple in execution and allows one-step, in less time to perform the operation.

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

scholarly journals Serous microcystic adenoma of the head of the pancreas causing an obstructive jaundice

2008 ◽  
Vol 65 (11) ◽  
pp. 839-842 ◽  
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Marjan Micev ◽  
Vitomir Rankovic ◽  
Slavko Matic ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Complete Recovery ◽  
Postoperative Recovery ◽  
Venous Stasis ◽  
Abdominal Symptoms ◽  
Microcystic Adenoma ◽  
Whipple’S Procedure ◽  
Rare Benign Tumor ◽  
Distal Pancreas ◽  
Head Of The Pancreas

Background. Serous microcystic adenoma is a rare benign tumor of the exocrine pancreas originating from the ductal system and composed of a large number of small cysts covered by cuboid cells, filled with clear serous fluid and separated with fibrocolagenous stroma. Most frequently it appears in women in 7th and 8th decades, in the distal pancreas. It shows a very low malignant potential. In 2/3 of patients symptoms are uncharacteristic and in 1/3 they are absent. When localized within the head of the pancreas it rarely causes an obstructive jaundice. Case report. We presented a 61-year-old female patient who for months had had mild and nonspecific abdominal symptoms developing to progressive obstructive jaundice. At surgery we revealed a rather large policystic mass of the head of the pancreas causing not only obstructive jaundice but also a venous stasis by compression and dislocation of the portomesenteric vein. The tumor was removed with pylorus preserving cephalic duodenopancreatectomy (Whipple's procedure modified by Longmire-Traverso). Histology confirmed serous microcystic adenoma of the pancreas. The postoperative recovery was uneventful and preoperative symptoms disappeared. Conclusion. Although very rare, serous microcystic adenoma might appear within the head of the pancreas and has to be taken into consideration in differential diagnosis of cystic lesions of the head of the pancreas. Very rarely the tumour might cause obstructive jaundice. Surgical resection, which might be demanding, leads to complete recovery.

scholarly journals Results of endoscopic treatment in patients with obstructive jaundice

2013 ◽  
Vol 94 (4) ◽  
pp. 450-455
Author(s):  
I M Sayfutdinov ◽  
L E Slavin
Keyword(s):  
Heart Failure ◽  
Pancreatic Cancer ◽  
Obstructive Jaundice ◽  
Complication Rate ◽  
Endoscopic Treatment ◽  
Biliary Obstruction ◽  
Treatment Method ◽  
Head Of The Pancreas ◽  
Transpapillary Drainage

Aim. To evaluate the results of endoscopic treatment in patients with obstructive jaundice. Methods. 136 patients with obstructive jaundice aged 27 to 88 years were referred for endoscopic transpapillary interventions from 2007 to 2012. 24 (17.6%) patients had biliary obstruction due to malignancies, most frequently - pancreatic cancer in the head of the pancreas (12 out of 24 patients, 50% of cancer cases). Among 112 (82.4%) patients with benign obstructive jaundice choledocholithiasis was diagnosed 67 (59.8%). Results. In 4 out of the 24 (16.7%) patients with malignancies and in 1 out of 112 (0.9%) patients with benign obstructive jaundice an endoscopic transpapillary intervention has failed. Single endoscopic transpapillary drainage was needed in 66 (48.5% of cases) patients, two endoscopic transpapillary decompressions - in 56 (41.2%) patients, three or more - in 14 (10.3%) patients. Papillosphincterotomy was the most frequent procedure performed, used in 136 out of 225 (60.4%) of cases. Serious complications occurred in 3.1% (7 out of 225) of completed surgeries. 1 (0.7%) patient has died of the heart failure. Endoscopic transpapillary stenting, which was performed in 19.6% of cases (44 out of 225 procedures) was the most secure treatment method with complication rate of 0%. Conclusion. The effectiveness of endoscopic transpapillary drainage in patients with obstructive jaundice of various genesis has reached 96.3%.

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