| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000411827 |
| ISSN: | 1665-2681 |
| Authors: | Montalvo Javé, Eduardo E1 Chablé Montero, Fredy2 Toapanta Yanchapaxi, Liz N1 Rojas Mendoza, Fernando1 López Caballero, Carlos3 Roca Cabrera, Mario L4 Mendoza Barrrera, Germán E5 |
| Institutions: | 1Fundación Clínica Médica Sur, Departamento de Gastroenterología, México, Distrito Federal. México 2Fundación Clínica Médica Sur, Departamento de Patología, México, Distrito Federal. México 3Universidad La Salle, Facultad Mexicana de Medicina, México, Distrito Federal. México 4Fundación Clínica Médica Sur, Departamento de Anestesiología y Terapia Respiratoria, México, Distrito Federal. México 5Universidad Nacional Autónoma de México, Facultad de Medicina, México, Distrito Federal. México |
| Year: | 2015 |
| Season: | May-Jun |
| Volumen: | 14 |
| Number: | 3 |
| Pages: | 425-429 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| English abstract | We report the case of a 37-year-old woman with no relevant medical history. She was admitted to the hospital for epigastric pain related with food intake for 4 days; the pain did not improve with symptomatic management. A laparoscopic cholecystectomy due to acute lithiasic cholecystitis was performed. However, after 4 days, postoperative painless jaundice was evident; thus, endoscopic retrograde cholangiopancreatography was performed, which revealed an amputation of intrapancreatic common bile duct, as well as secondary intra- and extrahepatic bile duct dilatation. Brushing of the distal portion of the common bile duct revealed a well-differentiated adenocarcinoma. Therefore, a Whipple procedure with pylorus preservation was performed. Pathologic diagnosis of a papillary in situ adenocarcinoma with two microscopic foci of microinvasion was established. The pathologic Tumor-Node-Metastasis (TNM) stage was pT1, pN0, pM0, R0. The patient is asymptomatic and disease-free 24 months after surgery. In general, adenocarcinomas of the extrahepatic bile ducts are uncommon and have a poor prognosis. However, symptomatic patients with early disease stages are even rarer and can be cured surgically |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Gastroenterología, Oncología, Vías biliares, Adenocarcinoma, Resección quirúrgica |
| Keyword: | Medicine, Gastroenterology, Oncology, Surgery, Bile ducts, Adenocarcinoma, Surgical resection |
| Full text: | Texto completo (Ver PDF) |
