Adam P Johnson, Deviney A Rattigan, Michael J Pucci, Jeffrey P Baliff, Jordan M Winter, Charles J Yeo, Harish Lavu
{"title":"Cholangio-Conundrum: A Case Series of Painless Jaundice.","authors":"Adam P Johnson, Deviney A Rattigan, Michael J Pucci, Jeffrey P Baliff, Jordan M Winter, Charles J Yeo, Harish Lavu","doi":"10.1089/crpc.2015.29002.apj","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Correct preoperative diagnosis of hepatobiliary disease can be challenging-even with current advances in radiographical imaging, laboratory testing, and endoscopic evaluation. <b>Case presentation 1:</b> A 65-year-old female with painless jaundice and weight loss was found to have cholelithiasis complicated by the Mirizzi syndrome. <b>Case presentation 2:</b> A 71-year-old female with new-onset painless jaundice and impacted stone in the gallbladder neck was found to have a cholangiocarcinoma. <b>Case presentation 3:</b> A 70-year-old male with progressive painless jaundice and weight loss was found to have a pancreatic adenocarcinoma. <b>Conclusion:</b> 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.</p>","PeriodicalId":92486,"journal":{"name":"Case reports in pancreatic cancer","volume":"1 1","pages":"16-21"},"PeriodicalIF":0.0000,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/crpc.2015.29002.apj","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case reports in pancreatic cancer","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/crpc.2015.29002.apj","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2015/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
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.