Obstructive Jaundice as the Initial Manifestation of Gastric Adenocarcinoma

Shehbaz M Ansari; Dhrumil Patel; Yashant Aswani; Abhishek Bairy; Hiba Narvel

doi:10.7759/cureus.32478

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Obstructive Jaundice as the Initial Manifestation of Gastric Adenocarcinoma

Journal article

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Obstructive Jaundice as the Initial Manifestation of Gastric Adenocarcinoma

Shehbaz M Ansari, Dhrumil Patel, Yashant Aswani, Abhishek Bairy and Hiba Narvel

Curēus (Palo Alto, CA), Vol.14(12)

12/13/2022

DOI: 10.7759/cureus.32478

PMCID: PMC9835852

PMID: 36644047

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Abstract

A 52-year-old female presented with epigastric pain, yellowing of the sclera, and vomiting for three weeks. Laboratory investigations revealed markedly elevated serum bilirubin and alkaline phosphatase levels, accompanied by a modest rise in transaminases. A clinical diagnosis of obstructive jaundice was established. Ultrasound of the abdomen depicted a mass in the region of the head of the pancreas. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an infiltrative gastric mass spreading across the gastroduodenal junction and involving the ampulla of Vater. Owing to comorbid conditions and widespread lymphadenopathy, a palliative gastrojejunostomy with excision biopsy was performed. Histopathology confirmed an undifferentiated gastric adenocarcinoma.

Details

Title: Subtitle: Obstructive Jaundice as the Initial Manifestation of Gastric Adenocarcinoma
Creators: Shehbaz M Ansari
Dhrumil Patel
Yashant Aswani
Abhishek Bairy
Hiba Narvel
Resource Type: Journal article
Publication Details: Curēus (Palo Alto, CA), Vol.14(12)
DOI: 10.7759/cureus.32478
PMID: 36644047
PMCID: PMC9835852
NLM abbreviation: Cureus
ISSN: 2168-8184
eISSN: 2168-8184
Language: English
Date published: 12/13/2022
Academic Unit: Radiology
Record Identifier: 9984339404902771

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