PMID: 1211986Aug 1, 1975Paper

Obstructive jaundice in patients with pancreatitis without associated biliary tract disease

Annals of Surgery
W B McCollum, P H Jordan

Abstract

Jaundice occurring in patients with pancreatitis is usually due to hepatocellular injury or to associated biliary tract disease. Common duct obstruction is occasionally caused by pancreatic fibrosis, edema or pseudocyst in patients who have neither hepatocellular injury nor biliary tract disease. We have studied 7 patients with obstructive jaundice due to pancreatitis who demonstrated no other known cause for jaundice. The difficulty in making the differential diagnosis between benign and malignant disease in these patients, particularly when no pain is associated with obstructive jaundice, is discussed. In view of the fact that the terminal common duct traverses the pancreas, it is uncertain why obstructive jaundice associated with chronic pancreatitis does not occur more often unless the condition is sometimes transient and overlooked. Operative intervention is required in those patients in whom jaundice is persistent. Operation is intended to decompress the biliary tract and the pancreas. The approach used will be dictated by the operative findings in each patient.

References

Jul 1, 1969·American Journal of Surgery·N R Thomford, J E Jesseph
Jul 1, 1958·A.M.A. Archives of Surgery·J M WAUGH, T E LYNN
Sep 1, 1962·Gut·S J GOULSTON, N D GALLAGHER
Feb 1, 1963·Annals of Internal Medicine·B R WEINSTEINH J ZIMMERMAN

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Citations

Oct 1, 1984·Digestive Diseases and Sciences·J A PetrozzaT R Gadacz
Dec 1, 1995·American Journal of Surgery·K M Itani, T V Taylor
Jan 1, 1985·Clinical Radiology·F WarwickJ M Braganza
Jul 1, 1980·Annals of Surgery·A L Warshaw, D W Rattner
Jun 1, 1983·Annals of Surgery·B B NewtonM C Anderson
Mar 1, 1977·Gut·J ScottS Sherlock
Jan 1, 2012·Journal of Surgical Case Reports·Anjan Kumar DhuaAmita Sen
Mar 18, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Abdul A AbdallahPhilippus C Bornman
Mar 1, 1983·American Journal of Surgery·M E SkellengerP H Jordan
Jun 1, 1983·American Journal of Surgery·N J Lygidakis
Jul 1, 1982·Current Problems in Surgery·R K Tompkins, H A Pitt
Jan 1, 1979·American Journal of Surgery·E L BradleyA C Gonzalez
Oct 1, 1984·The British Journal of Surgery·M J Cooper, R C Williamson
Jan 1, 1982·The British Journal of Surgery·F WisløoffM Osnes
Sep 9, 2004·Surgical Infections·Steven C Cunningham, Lena M Napolitano
Mar 1, 1988·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·S J DrewniakP A Banks
Jul 1, 2020·Case Reports in Gastroenterology·Elrazi Awadelkarim Hamid AliMohamed A Yassin

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