Concluded Case

Obstructive jaundice

55/F, no comorbidities Chief Complaints Jaundice since 3 weeks associated with clay colored stool Investigations CT abdomen is as shown below Management What is the probable diagnosis and further management?

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Concluded answer

CT shows dilated PD and CBD due to mass in head of pancreas with involvement of portal vein and encasement of SMA and hence is an unresectable cancer. The patient underwent palliative metallic stenting and was discharged.

All Answers

Neoplasm head of Pancreas If serum bilirubin is >20mg biliary stenting Control of Infection and Jaundice followed by Exploratory Laprotomy / Laproscopic staging Assessment for curative resection/palliation If curative resection possible proceed for Whipple's Pancreaticodudonectomy If curative resection not feasible the palliation in the form of Choledochojejunostomy Gastrojejunostomy Palliation in the form of Cholecystojejunostomy only Sometimes Tissue for biopsy and closure

CT shows dilated PD and CBD due to mass in head of pancreas with involvement of portal vein and encasement of SMA and hence is an unresectable cancer. The patient underwent palliative metallic stenting and was discharged.

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