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Нойр булчирхайн толгой хэсгийн хавдар
Зохиогч
Э.Хонгорзул
Н.Баасанжав
А.Ербахыт
С.Роломжав
Н.Алтанчимэг
Ц.Отгонтуяа
Б.Эрдэнэбулган
Он
2020 оны тавдугаар сарын 1
Төрөл
journal article
Journal
Эрүүл мэндийн шинжлэх ухаан
Volume
17
Issue
2
Start Page
184
End Page
186
ISSN
2959-6947
Хураангуй
Нийт нойр булчирхайн хавдрын 60-70% нь булчирхайн толгойн хэсэгт байрлах бөгөөд аденокарцинома хавдар нь хамгийн элбэг тохиолддог.1 Энэхүү судалгааг УХТЭ-ийн Мэс заслын тасагт хэвтэн эмчлүүлсэн өвчтөний статистик мэдээлэл, өвчний түүх, ERCP+CBD stenting, тодосгогчтой компьютер томогорафи (КТГ), MRCP болон MRI шинжилгээ зэрэг эмнэлзүйн мэдээлэлд тулгуурлан судаллаа.
Introduction: The prognosis for pancreatic cancer is poor, and early diagnosis is essential for surgical management. By comparison with its classic form, the presence of acute or chronic inflammatory signs will mask its detection and delay its diagnosis. In our case 72-year-old man presented acute abdominal pain with hight body temperature. Laboratory investigations revealed a high amylase, BilT and BilD. Ultrasounds showed dilated gallbladder with multiple stones, and dilated CBD and pancreatic duct. Pancreas size were slightly larger comparing with patient age, and irregular contour and increased parenchymal echogenicity. So, patient underwent the ERCP+CBD stenting due to obstruction of CBD. After that patient took the abdominal CECT, it showed <1.0 cm sized stent within common biliary duct, pancreas head dilation and GB multiple stones /figure 1, first line/. When patient's symptoms resolved postoperatively, patient discharged home. Follow-up appointments after ERCP+CBD stenting, patient’s amylase were stable high <268.7 UL. By the plan we removed stent after 3 months later, but patient presented symptoms, which mentioned above, so underwent the abdominal CECT again, it showed predominant hypodense mass in pancreas head with slightly dilated pancreas duct and dilated CBD /figure 1, second line/. Since the tumor can be masked by inflammation or necrosis, like the upstream atrophy by edema, secondary signs become of great importance. Dilatation of the pancreatic duct, a double biliary and pancreatic obstruction or interruption of the pancreatic duct are unusual as our case report, and should lead to considering an underlying pancreatic tumor.
Нэмэлт мэдээлэл
Бүрэн эх: https://journal.mnums.edu.mn/index.php/emsu/article/view/1545
Эшлэл
Э.Хонгорзул, Н.Баасанжав, А.Ербахыт, С.Роломжав, Н.Алтанчимэг, Ц.Отгонтуяа нар. Нойр булчирхайн толгой хэсгийн хавдар. Эрүүл мэндийн шинжлэх ухаан. 2020;17(2):184-186.