title: When in doubt, take it out? Cholestasis and obstructive gastric outlet syndrome in a patient with suspected chronic pancreatitis.
abstract: In some patients with tumors located in the pancreas or in the periampullary region, the decision to perform a surgical resection can be difficult. In patients with concomitant chronic pancreatitis this decision can be even more challenging, since a definitive preoperative differentiation between non-malignant and malignant tumors in many cases is not possible. Clinical symptoms or complications from the tumor often direct a rational treatment strategy. For therapeutic decisions, an interdisciplinary discussion of all diagnostic findings by experienced clinicians is needed. However, in rare cases, like the one presented here, an uncommon non-malignant entity like a periampullary hamartoma may be only diagnosed after surgical resection.
authors.affiliation: Department of Internal Medicine, Neurology and Dermatology, Division of Gastroenterology and Rheumatology, University of Leipzig, Leipzig, Germany. jonas.rosendahl@medizin.uni-leipzig.de
authors.forename: Jonas
authors.initials: J
authors.lastname: Rosendahl
authors.forename: Albrecht
authors.initials: A
authors.lastname: Hoffmeister
authors.forename: Katrin
authors.initials: K
authors.lastname: Schierle
authors.forename: Bettina
authors.initials: B
authors.lastname: Maiwald
authors.forename: Thomas
authors.initials: T
authors.lastname: Kahn
authors.forename: Joachim
authors.initials: J
authors.lastname: Mössner
authors.forename: Henning
authors.initials: H
authors.lastname: Wittenburg
mesh_terms: D001652:Bile Ducts / Q000601:surgery; D002779:Cholestasis / Q000000981:diagnostic imaging* / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D017219:Gastric Outlet Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery; D006222:Hamartoma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010193:Pancreaticojejunostomy; D050500:Pancreatitis, Chronic / Q000000981:diagnostic imaging*; D011859:Radiography
keywords: CP; CT; Cholestasis; Chronic pancreatitis; Obstructive gastric outlet syndrome; Periampullary hamartoma; centimeter; chronic pancreatitis; cm; computed tomography; millimeter; mm