Sarcomatoid carcinoma of the pancreas and congenital choledochal cyst.
نویسندگان
چکیده
A 72-year-old woman was admitted to our hospital with abdominal pain, fever, and weight loss. Physical examination revealed tenderness in the epigastrium. Laboratory data showed a white blood cell count of 12,600 10/L (normal range, 4800-10,800 10/L) and increases in the serum levels of amylase (379 IU/L; normal <160 IU/L); aspartate aminotransferase (78 IU/L; normal 1-21 IU/L), alanine (60 IU/L; normal 1-22 IU/L), alkaline phosphatase (1410 IU/L; normal <207 IU/L), and gamma-glutamyl transpeptidase (447 IU/L; normal <25 IU/L). US and CTrevealed dilatation of the common bile duct suggestive of a choledochal cyst (type I) and pancreatic-duct dilatation.
منابع مشابه
Choledocal Cyst in Children
During a period of two years (1984 - 1985), three patients with diagnosis of choledocal cyst have gone under operation in department of pediatric surgery (Taleghani Medical Centre). Choledochal cyst is a congenital malformation of the pancreatobiliary system. Its pathogenesis is not yet completely understood.The famale/male predisposition is 4/1. More than 50% of the patients present during the...
متن کاملA rare case of choledochal cyst with pancreas divisum: case presentation and literature review
Choledochal cysts are rare congenital malformations of the bile duct characterized by dilatations of the intrahepatic and/or extrahepatic portion of the biliary tree, they are associated to an anomalous arrangement of the pancreaticobiliary duct. Pancreas divisum results from a fusion failure of the pancreatic buds. The coexistence of pancreas divisum and choledochal cyst in adults has been rep...
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Pancreas divisum (PD) is the most common congenital variant of the pancreas, affecting 5% to 14% of the population. The ventral duct only drains the ventral pancreas through the major papilla, whereas the majority of the pancreas drains via the dorsal duct through the minor papilla. We report the case of a 21-year-old woman with recurrent acute pancreatitis who presented with the rare finding o...
متن کاملOccult carcinoma in an adult choledochal cyst.
The complications of choledochal cyst are avoidable if diagnosed early, and adequate resection undertaken. This case report describes the long history of right subcostal pain in a young man of 26 who had a squamous carcinoma in a choledochal cyst diagnosed after serial section of the excised cyst. Subsequent resection of the head of the pancreas showed histological residual tumour from which he...
متن کاملMetachronous cholangiocarcinoma 13 years post resection of choledochal cyst—is long-term follow-up useful?: a case study and review of the literature
BACKGROUND Patients with congenital choledochal cyst are at risk of the development of hepatobiliary malignancy, with recommended treatment of choledochal cyst being surgical excision. The development of cholangiocarcinoma more than 10 years after excision of choledochal cysts is rare, with less than 21 cases reported in the literature from 1972 to 2014. This is the first reported case of metac...
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عنوان ژورنال:
- Gastrointestinal endoscopy
دوره 64 6 شماره
صفحات -
تاریخ انتشار 2006