Dissemination of pancreatic carcinoma following endoscopic sphincterotomy.
Endoscopic sphincterotomy (ES) is sometimes advocated for the temporary decompression of an obstructed bile duct by a periampullary tumor. We report a 27-year-old woman with a small carcinoma of the pancreatic head who developed acute pancreatitis and a pseudocyst following ES. At operation, malignant spread was virtually confined to the walls of the resolving pseudocyst cavity. Despite radical resection, she died from recurrent carcinoma 7 months postoperatively.
Studley
J G
JG
Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London.
Sami
A R
AR
Williamson
R C
RC
D000208:Acute Disease; D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000328:Adult; D002779:Cholestasis / Q000601:surgery; D005260:Female; D006801:Humans; D009366:Neoplasm Seeding; D010179:Pancreas / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000209:etiology*; D010195:Pancreatitis / Q000209:etiology*; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects*