Obstructive jaundice caused by metastatic lymph node of Colon Cancer

被引：0

作者：

Lin, Chin-Ta ^{[1
]}

Wu, Chang-Chieh ^{[1
]}

Jao, Shu-Wen ^{[1
]}

Hsiao, Cheng-Wen ^{[1
]}

机构：

[1] Tri Serv Gen Hosp, Dept Surg, Div Colon & Rectal Surg, Natl Def Med Ctr, Taipei 114, Taiwan

来源：

PAKISTAN JOURNAL OF MEDICAL SCIENCES | 2012年 / 28卷 / 05期

关键词：

Obstructive jaundice; Colon cancer; Metastatic lymph node; External compression;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Obstructive jaundice poses an important clinical challenge in diagnosis due to asymptomatic signs early in their course. Proper imaging studies should be obtained immediately to make an early diagnosis to prevent further complications and prolonged hospitalization. We report an unusual case of silent colon cancer presenting with obstructive jaundice mimicking acute cholangitis due to lymph node metastasis by external compressing the common bile duct. Abdominal computed tomographic scan (CT) is efficient to make an early diagnosis, although there is still controversy about the benefit of performing an early abdominal CT in patients with acute abdomen. With surgical intervention exploratory laparotomy with right hemi-colectomy and lymph node dissection, the patient was discharged with normal total bilirubin level on the postoperative day 10.

引用

页码：971 / 973

页数：3

共 12 条

[1] An extrahepatic bile duct metastasis from a gallbladder cancer mimicking Mirizzi's syndrome
Akiyama, H
Sato, T
Toyoda, S
Yamada, H
[J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 1999, 94 (02) : 508 - 510
[2] Pancreatic malignancy: Value of arterial, pancreatic, and hepatic phase imaging with multi-detector row CT
Fletcher, JG
Wiersema, MJ
Farrell, MA
Fidler, JL
Burgart, LJ
Koyama, T
Johnson, CD
Stephens, DH
Ward, EM
Harmsen, WS
[J]. RADIOLOGY, 2003, 229 (01) : 81 - 90
[3] HEPATOBILIARY IMAGING OF COMMON BILE-DUCT OBSTRUCTION BY A HYDRONEPHROTIC KIDNEY
LEVINSON, ED
HENKEN, EM
SPENCER, RP
[J]. CLINICAL NUCLEAR MEDICINE, 1982, 7 (02) : 62 - 63
[4] BILIARY-TRACT OBSTRUCTION SECONDARY TO CANCER - MANAGEMENT GUIDELINES AND SELECTED LITERATURE-REVIEW
LOKICH, JJ
KANE, RA
HARRISON, DA
MCDERMOTT, WV
[J]. JOURNAL OF CLINICAL ONCOLOGY, 1987, 5 (06) : 969 - 981
[5] Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study
Ng, CS
Watson, CJE
Palmer, CR
See, TC
Beharry, NA
Housden, BA
Bradley, JA
Dixon, AK
[J]. BRITISH MEDICAL JOURNAL, 2002, 325 (7377): : 1387 - 1389
[6] PereiraLima JC, 1996, HEPATO-GASTROENTEROL, V43, P992
[7] A randomized, controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain
Sala, E.
Watson, C. J. E.
Beadsmoore, C.
Groot-Wassink, T.
Fanshawe, T. R.
Smith, J. C.
Bradley, A.
Palmer, C. R.
Shaw, A.
Dixon, A. K.
[J]. CLINICAL RADIOLOGY, 2007, 62 (10) : 961 - 969
[8] Gallbladder carcinoma: Findings at MR imaging with MR cholangiopancreatography
Schwartz, LH
Black, J
Fong, Y
Jarnagin, W
Blumgart, L
Gruen, D
Winston, C
Panicek, DM
[J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2002, 26 (03) : 405 - 410
[9] Clinical impact of biliary drainage and jaundice resolution in patients with obstructive metastases at the hilum
Van Laethem, JL
De Broux, S
Eisendrath, P
Cremer, M
Le Moine, O
Devière, J
[J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2003, 98 (06) : 1271 - 1277
[10] COMMON BILE-DUCT COMPRESSION BY AN ABDOMINAL AORTIC-ANEURYSM
VANGOSSUM, A
RUBINSTEIN, M
ENGELHOLM, L
CREMER, M
[J]. ENDOSCOPY, 1986, 18 (02) : 69 - 70

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