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- Title
간흡충으로 인한 총담관의 양성 협착과 감별이 어려운악성 협착 1예.
- Authors
김현; 한정호; 박선미; 김정태; 장종순; 이희승; 이승호; 연명호
- Abstract
Accurate and early diagnosis of indeterminate bile duct stricture is difficult. There are numerous cases suggesting similarity between benign tumors and malignancy. Therefore, meticulous evaluation with endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound and computed tomography (CT) is necessary. A 50 year-old male presented with painless jaundice. Abdominal CT scan showed distal biliary stricture without definite pancreatic mass. Repeated brush cytology and endobiliary biopsy during ERCP did not reveal malignancy except for eggs of Clonorchis sinensis . The patient declined surgical resection without definite evidence of malignancy. Abdominal CT scan one month later showed progressive parenchymal atrophy and pancreatic duct dilatation. The patient underwent pylorus preserving pancreatoduodenectomy. Pathology revealed pancreatic adenocarcinoma in the head portion. Since accurate preoperative diagnosis of malignant biliary obstruction can be evasive, patients with biliary stricture should undergo evaluation with high index of suspicion.
- Publication
Korean Journal of Pancreas & Biliary Tract / Daehan Chwedamdo Haghoeji, 2015, Vol 20, Issue 1, p51
- ISSN
1976-3573
- Publication type
Article
- DOI
10.15279/kpba.2015.20.1.51