When in doubt, take it out? Cholestasis and obstructive gastric outlet syndrome in a patient with suspected chronic pancreatitis

作者：Rosendahl Jonas^*; Hoffmeister Albrecht; Schierle Katrin; Maiwald Bettina; Kahn Thomas; Moessner Joachim; Wittenburg Henning

来源：Pancreatology, 2013, 13(4): 458-460.

DOI：10.1016/j.pan.2013.04.002

• Cholestasis
• Chronic pancreatitis
• Obstructive gastric outlet syndrome
• Periampullary hamartoma

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 nonmalignant 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.

• 出版日期2013-8