Mandraka, Falitsa and Zuelke, C. and Lock, G. (2003) Cholestasis and vomiting: Unusual differential diagnosis in a case of Peutz-Jeghers syndrome. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 128 (18). pp. 984-988. ISSN 0012-0472
Full text not available from this repository. (Request a copy)Abstract
History and clinical findings: A 54-year-old patient with painless jaundice and vomiting had been diagnosed with a Peutz-Jeghers syndrome 20 years before. Investigations: The blood analysis showed a cholestatic constellation as well as increased transaminases. Sonographic, radiological, endoscopic and histological findings indicated multiple hamartomatous polyps of the Peutz-jeghers' type in the entire small and large bowel with occlusion of the papilla of Vater and the superior gastrointestinal tract by a big polyp. Treatment and course: After an initial percutaneous transhepatic cholangiographic drainage, Whipple's operation and a segmental resection of small and large bowel were performed. A highly differentiated adenocarcinoma of the duodenum was found in the resected specimen. Conclusion: This case demonstrates the potentially severe complications of a Peutz-Jeghers syndrome that had been neglected for years.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SEX CORD TUMOR; ANNULAR TUBULES; POLYPS; CARCINOMA; CANCER; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 13 Sep 2021 08:06 |
| Last Modified: | 13 Sep 2021 08:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/39013 |
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