Articles Related to Pancreatic

Pancreatic cancer carries one of the worst prognoses in the United States. It is the fourth leading cause of cancer-related death in the United States and second after colorectal cancer in digestive system cancer-related death. Early detection is the key to improving its prognosis. Surgical resection is the only curative treatment, but even after margin-negative resection, the 5-year survival rate is still 30%. The following case presents a fascinating diagnosis of pancreatic cancer. Despite an initial diagnosis of pancreatitis, negative cytology, tumor markers, and imaging suggestive of intraductal papillary mucinous neoplasm (IPMN), this patient underwent surgical resection that later revealed pancreatic adenocarcinoma of the tail. This article highlights certain imaging modalities and characteristics that are essential in the diagnosis of pancreatic adenocarcinoma, in an effort to guide management of similar cases, with hope it leads to better outcomes.

View complete article: PDF  |  Full-text

Diagnosis and choice of therapeutic rational tactics in patients with closed pancreatic injuries still remain and actual problem of urgent abdominal surgery. The results of treatment of 70 patients with pancreatic injuries being treated in a surgical department of RSCUMA of Uzbekistan Public Health and its branches during 2009-20021 with analyzed. Intraoperative inspection of omental bursa is still a single reliable method to reveal injuries to the pancreas. Depending on the character and localization the differ following kinds of surgical treatment of pancreatic injuries were used: based on adequate drainage of the impaired zone; removal of lifeless pancreatic tissues; restoration of passage or rational derivation of pancreatic juice. It is necessary to underline that in all cases of pancreatic injuries antisecretory, antianzymatic, antibacterial and desintoxicating therapy must be carried out.

View complete article: PDF  |  Full-text

Multiple myeloma is a malignant disease caused by monoclonal proliferation of multiple myeloma plasma cells [1]. In patients, high-dose melphalan chemotherapy and autologous stem cell transplantation are administered. Common side effects of high dose melphalan are oral mucositis, enteritis, and neutropenia [2].

View complete article: PDF  |  Full-text

Gullo´s syndrome is a benign pancreatic hyperenzymemia that appears in healthy individuals and that is maintained over time, with fluctuations and transient normalization of pancreatic enzyme values in the absence of any evidence of clinical or morphological pancreatic disease. Its correct diagnosis is important to assure the carriers of the defect that there is no pancreas disease and to avoid unnecessary examinations, treatments and hospitalizations.

View complete article: PDF  |  Full-text

Hydatid disease of the pancreas is a rare condition, with an incidence of less than 1%. Establishing diagnosis may be difficult because clinical and imaging findings are similar to other more commonly encountered cystic lesions of the pancreas. We present a case of isolated Hydatid cyst in the tail of pancreas which masquerading as the mucinous cystic neoplasm of the pancreas.

View complete article: PDF  |  Full-text

During the 19th Century, there was a difficult choice concerning whether a pancreatic cancer is primary or secondary. However, in this paper, it is shown that some views were decidedly in favor of attack from other primaries. Indeed, the evidence of spread to the pancreas included either concise or coalescent lesions.

View complete article: PDF  |  Full-text

A seventy five year male presented with acute onset right foot pain and swelling. Plain imaging revealed a lytic area in the medial and middle cuneiform bones of the right foot. Background history of resected pancreatic cancer and current presentation were consistent early diffuse disease recurrence of a pancreatic primary tumour. The presenting feature in this case was of symptomatic acrometastases, that is, metastases to the feet.

View complete article: PDF  |  Full-text

Ascariasis is the most common helminthic infection in the world and is seen mostly in the developing countries of Asia. We report a case of heavy worm infestation in a 2-year-old child who presented with worms in small bowel, common bile duct and liver with abscesses. He was managed conservatively and recovered well without any sequalae.

View complete article: PDF  |  Full-text