Ampullary carcinoid tumour presenting with extrahepatic biliary obstruction. | [Journal of Pakistan Medical Association • 2015]

Author(s):

1. Muhammad Salman Shafique: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan

2. Muhammad Fahim: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan

3. Saadiah Tasnim Shahbaz Bhatti: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan

4. Jahangir Sarwar Khan: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan

5. Muahmmad Mussadiq Khan: Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan

Abstract:

Carcinoid tumours are slow growing tumours, derived from enterochromaffin cells located in the crypts of Lieberkühn,which is part of neuroendocrine system. A 36- year-old female patient presented in surgical clinic with complaints of progressively increasing yellowish discolouration of her eyes and pruritis for 6 months. She was deeply jaundiced with a soft and non-tender abdomen. Diagnostic work-up revealed obstructive jaundice secondary to ampullary growth, while computed tomography revealed a small intraluminal lower common bile duct mass. Endoscopic ultrasound showed thickened duodenum at ampulla of Vater. Pancreaticoduodenectomy (Whipple`s procedure) with pancreaticojejunostomy, hepaticojejunostomy and gastrojejunostomy was done. Pathological examination of the resected specimen revealed carcinoid tumour. Postoperative course of patient was unremarkable and she is doing well after surgery.

Page(s): 892-894

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 65, Issue: 8, Year: 2015

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