|
KMID : 0931320160160010042
|
|
대한상부위장관.헬리코박터학회지
2016 Volume.16 No. 1 p.42 ~ p.45
|
|
|
Pancreatitis-Mimicking Pancreatic Cancer with Duodenal Obstruction: A Case Report
|
|
최아름:Choe A-Reum
심기남:Shim Ki-Nam/김태오:Kim Tae-Oh/윤상은:Yoon Sang-Eun/민석기:Min Seok-Ki/조민선:Cho Min-Sun
|
|
|
Abstract
|
|
|
|
Pancreatic cancer tends to be delayed in diagnosis because of the lack of early symptom and less than 20% of patients present with resectable masses. A 95-year-old male visited due to recurrent abdominal pain and vomiting. About 2 years ago, a polypoid lesion was detected at the post-bulbar area on esophagogastroduodenoscopy for medical check-up. Endoscopic biopsy noted chronic inflammation with glandular atypia. On the CT scan, there was an intraluminal polypoid mass lesion with mixed hypodensity at the duodenal second portion. Ultrasound guided biopsy targeting the hypodense lesion was performed and revealed chronic pancreatitis. The vomiting persisted and the patient received a palliative gastrojejunostomy. Twenty-five days after gastrojejunostomy, jaundice occurred and an ill-defined mass at the pancreas head was noted on the CT. Pylorus preserving pancreatoduodenectomy was performed and a 3.5 cm sized, moderate to poorly differentiated ductal adenocarcinoma of pancreas head was diagnosed. Nineteen days after operation, the patient was discharged in good condition.
|
|
|
KEYWORD
|
|
|
Pancreatic neoplasms, Pancreatitis, Duodenal obstruction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|