Common bile duct obstruction due to fibrous pseudotumor of pancreas associated with retroperitoneal fibrosis: a case report.
One 63-year-old woman, who presented with cholestatic jaundice due to common bile duct compression produced by primary retroperitoneal fibrosis, is studied. The patient was operated six years ago because of hydronephrosis, when the disease was first diagnosed. Magnetic resonance cholangiopancreatography (MRCP) revealed the presence of extrahepatic bile duct obstruction, which once was considered to be pathognomonic of pancreatic cancer. CT-scan demonstrated the change of retroperitoneal fibrosis around left kidney, atrophy of right kidney, and obstruction of extrahepatic bile duct (pancreatic head). An explorative laparotomy was performed, and the retroperitoneum and pancreas were grayish-white and hard, the fibrotic pancreatic head compressed the common bile duct. Bile duct stricture was managed by Rouxen-Y hepatocholangio-jejunostomy. To the best of our knowledge, few similar cases of retroperitoneal fibrosis have been reported.
Zhao
Mei-Fen
MF
Department of General Surgery, First Affiliated Hospital, China Medical University, Shenyang 110001, Liaoning Province, China. zhaomeifen@medmail.com.cn
Tian
Yu
Y
Guo
Ke-Jian
KJ
Ma
Zhi-Gang
ZG
Liao
Hai-Hui
HH
D002779:Cholestasis / Q000209:etiology* / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D012185:Retroperitoneal Fibrosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery