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Rare cause of obstructive icterus in a young patient


Authors: Marie Kundratová
Authors‘ workplace: Gastroenterologické oddělení, Oblastní nemocnice Mladá Boleslav, a. s.
Published in: Vnitř Lék 2022; 68(E-8): 18-22
Category: Case reports
doi: https://doi.org/10.36290/vnl.2022.117

Overview

In this case report is discussed the diagnosis of papillary carcinoma in the case of a patient in whose age the occurrence of the disease is very rare. The patient underwent a series of non-invasive and invasive examinations, the results of which eventually led to a surgical solution of the suspected lesion (Wipple’s procedure). Histological examination of the resection confirmed mixed type ampular adenocarcinoma. In the context of this finding, the results of the examination, their information value, interpretation and mutual interaction are discussed. In the postoperative period, the patient suffered from gastrointestinal bleeding, subileum and poor postoperative healing. After hospitalization, the patient was transferred to oncology care and indicated for genetic testing.

Keywords:

obstructive icterus – familial adenomatous polyposis – carcinoma of the papilla of Vater – Whipple procedure


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Labels
Diabetology Endocrinology Internal medicine
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