Cholangio-Conundrum: A Case Series of Painless Jaundice.

Case reports in pancreatic cancer Pub Date : 2015-11-01 eCollection Date: 2015-01-01 DOI:10.1089/crpc.2015.29002.apj
Adam P Johnson, Deviney A Rattigan, Michael J Pucci, Jeffrey P Baliff, Jordan M Winter, Charles J Yeo, Harish Lavu
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引用次数: 1

Abstract

Background: Correct preoperative diagnosis of hepatobiliary disease can be challenging-even with current advances in radiographical imaging, laboratory testing, and endoscopic evaluation. Case presentation 1: A 65-year-old female with painless jaundice and weight loss was found to have cholelithiasis complicated by the Mirizzi syndrome. Case presentation 2: A 71-year-old female with new-onset painless jaundice and impacted stone in the gallbladder neck was found to have a cholangiocarcinoma. Case presentation 3: A 70-year-old male with progressive painless jaundice and weight loss was found to have a pancreatic adenocarcinoma. Conclusion: Proper diagnosis and management of patients with painless jaundice can be difficult in the preoperative setting and may require surgical exploration to obtain a definitive diagnosis.

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胆道难题:无痛性黄疸系列病例。
背景:肝胆疾病的正确术前诊断是具有挑战性的,即使在放射成像、实验室检查和内窥镜评估方面取得了进展。病例报告1:65岁女性,无痛性黄疸,体重下降,发现胆石症合并Mirizzi综合征。病例报告2:一名71岁女性,新发无痛性黄疸及胆囊颈部嵌塞结石被发现为胆管癌。病例报告3:一位70岁男性,患有进行性无痛性黄疸和体重下降,被发现患有胰腺腺癌。结论:术前对无痛性黄疸患者的正确诊断和处理是困难的,可能需要手术探查才能得到明确的诊断。
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