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Portal hypertension as an early manifestation of carcinoma of the pancreas
Author(s) -
Lishner Michael,
Jutrin Izhak,
Dinbar Alex,
Ravid Mordchai
Publication year - 1985
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930300104
Subject(s) - medicine , portal hypertension , pancreas , asymptomatic , laparotomy , common bile duct , radiology , carcinoma , jaundice , varices , cirrhosis
Massive hematemesis followed by 48 hours the onset of obstructive jaundice in a previously asymptomatic 38‐year‐old male patient. Splenomegaly was the only abnormal physical finding. Esophagoscopy visualized bleeding varices. The liver scan was normal. Dilated intra‐ and extrahepatic bile ducts and a possible retroperitoneal mass were demonstrated by ultrasonography. Laparotomy disclosed the presence of a carcinoma of the head and body of the pancreas that obstructed the common bile duct and the portal vein. This case report should draw attention to the vast spectrum of rare presentations of pancreas carcinoma.