Abstract:
:One 63-year-old woman, who presented with cholestatic jaundice due to common bile duct compression produced by primary retroperitoneal fibrosis, is studied. The patient was operated six years ago because of hydronephrosis, when the disease was first diagnosed. Magnetic resonance cholangiopancreatography (MRCP) revealed the presence of extrahepatic bile duct obstruction, which once was considered to be pathognomonic of pancreatic cancer. CT-scan demonstrated the change of retroperitoneal fibrosis around left kidney, atrophy of right kidney, and obstruction of extrahepatic bile duct (pancreatic head). An explorative laparotomy was performed, and the retroperitoneum and pancreas were grayish-white and hard, the fibrotic pancreatic head compressed the common bile duct. Bile duct stricture was managed by Rouxen-Y hepatocholangio-jejunostomy. To the best of our knowledge, few similar cases of retroperitoneal fibrosis have been reported.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Zhao MF,Tian Y,Guo KJ,Ma ZG,Liao HHdoi
10.3748/wjg.v10.i20.3078keywords:
subject
Has Abstractpub_date
2004-10-15 00:00:00pages
3078-9issue
20eissn
1007-9327issn
2219-2840journal_volume
10pub_type
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pub_type: 杂志文章
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pub_type: 杂志文章
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doi:10.3748/wjg.v23.i16.2928
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pub_type: 杂志文章
doi:10.3748/wjg.v7.i6.826
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journal_title:World journal of gastroenterology
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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