CASE REPORT   

Journal of Radiological Review 2020 March-April;7(2):147-52

DOI: 10.23736/S2723-9284.20.00002-0

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Obstructive jaundice associated with bulging duodenal papilla

Chiara F. ROSA ✉

Section of Computed Tomography, Department of Emergency Radiology, IRCCS San Martino University Hospital, Genoa, Italy

Obstructive jaundice is a clinical condition caused by multiple factors; only in a minority of cases, as in our study, an ampullary mass is diagnosed as the main reason for the obstruction of the biliary tract. On admission the patient shows jaundice, high bilirubin levels and an increase of C-reactive-protein and gamma-glutamyl transferase. The diagnostic methods are used to identify the anatomical localization of the mass and then to describe it: the use of computed tomography, often the best for the visualization and study of gastrointestinal tract pathologies, endoscopic ultrasound, endoscopic retrograde cholangiopancreatography which allows the temporary resolution of jaundice with the biliary tract stent implant. After having performed a correct preoperative classification of the neoplasm, the surgical intervention consisting of a duodenocephalopancreasectomy is scheduled with partial pancreatoduodenectomy that preserves the pylorus.

KEY WORDS: X-ray computed tomography; Endosonography; Endoscopic retrograde cholangiopancreatography