دورية أكاديمية
Double rarity: malignant masquerade biliary stricture in a situs inversus totalis patient.
| العنوان: | Double rarity: malignant masquerade biliary stricture in a situs inversus totalis patient. |
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| المؤلفون: | Eitler K; Department of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary., Mathe Z; Department of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary., Papp V; 1st. Department of Surgery and Interventional Gastroenterology, Semmelweis University, Budapest, Hungary., Zalatnai A; 1st. Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary., Bibok A; Department of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary., Deak PA; Department of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary., Kobori L; Department of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary., Telkes G; Department of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary. telkesdr@gmail.com. |
| المصدر: | BMC surgery [BMC Surg] 2021 Mar 21; Vol. 21 (1), pp. 153. Date of Electronic Publication: 2021 Mar 21. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968567 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2482 (Electronic) Linking ISSN: 14712482 NLM ISO Abbreviation: BMC Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Jaundice, Obstructive*, Bile Duct Neoplasms/*surgery , Klatskin Tumor/*surgery , Situs Inversus/*surgery, Aged ; Bile Duct Neoplasms/complications ; Bile Duct Neoplasms/pathology ; Bile Ducts, Intrahepatic/diagnostic imaging ; Constriction, Pathologic/diagnosis ; Constriction, Pathologic/surgery ; Humans ; Klatskin Tumor/pathology ; Magnetic Resonance Imaging ; Male ; Situs Inversus/complications ; Situs Inversus/pathology ; Tomography, X-Ray Computed |
| مستخلص: | Background: Situs inversus totalis is a rare anatomical variation of both the thoracic and the abdominal organs. Common bile duct strictures can be caused by malignant and benign diseases as well. 7-18% of the latter ones are 'malignant masquerade' cases, as pre-operative differentiation is difficult. Case Presentation: We present the case of a 68y male patient with known situs inversus totalis and a recent onset of obstructive jaundice caused by a malignant behaving common bile duct stricture. Technically difficult endoscopic retrograde cholangiopancreatography, brush cytology, magnetic resonance cholangiopancreatography, endoscopic ultrasound, and percutaneous transhepatic drainage with stent implantation were performed for proper diagnosis. Cholecystectomy, common bile duct resection with hilar lymphadenectomy, and hepatico-jejunostomy have been performed following multidisciplinary consultation. The final histology report did not confirm any clear malignancy, the patient is doing well. Conclusion: In situs inversus patients, both diagnostic and therapeutic procedures can lead to various difficulties. Benign biliary strictures are frequently misdiagnosed preoperatively as cholangiocellular carcinoma. Surgery is usually unavoidable, involving a significant risk of complications. The co-existence of these two difficult diagnostic and therapeutic features made our case challenging. |
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| فهرسة مساهمة: | Keywords: Common bile duct; Klatskin tumor; Obstructive jaundice; Perihilar cholangiocarcinoma; Situs inversus |
| تواريخ الأحداث: | Date Created: 20210321 Date Completed: 20210325 Latest Revision: 20210325 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7981884 |
| DOI: | 10.1186/s12893-021-01155-w |
| PMID: | 33743673 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2482 |
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| DOI: | 10.1186/s12893-021-01155-w |