title: [Cancer of the head of the pancreas with a unique evolution].
abstract: Case report of a 67-years-old man with cephalopancreatic carcinoma and a peculiar evolution, undergoing several operations. The diagnostic was established 3 years ago through a peroperative pancreatic bioptic puncture, followed by choledochoduodenostomy considering the tumor as inextirpable. After 2 1/2 years symptoms of high occlusion and upper digestive bleeding caused by duodenal invasion and a Wölfler precolic gastrojejunostomy was performed. After 4 month the upper digestive bleeding relapsed severely imposing the second reintervention (cephalic duodenopancreatectomy with a special montage). The evolution was favourable, the clinical, biological and imagistic control at 6 month showing the absence of recidive.
authors.affiliation: Clinica Chirurgicală Coltea, Bucureşti.
authors.forename: N
authors.initials: N
authors.lastname: Angelescu
authors.forename: N
authors.initials: N
authors.lastname: Jitea
authors.forename: D
authors.initials: D
authors.lastname: Cristian
authors.forename: N
authors.initials: N
authors.lastname: Mircea
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D001706:Biopsy; D002763:Cholecystectomy; D002768:Choledochostomy; D005774:Gastrostomy; D006801:Humans; D007582:Jejunostomy; D008297:Male; D010179:Pancreas / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D012086:Reoperation; D013997:Time Factors