Goubaa Mohamed MD Djerba Tunisia

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--- Arabic
This is a 67-year-old male with a 3-month history of a 15-pound weight loss and a 1-week history of painless jaundice.Lab work included a bilirubin of 13 and alkaline phosphatase of 420. Look at the ultrasound scans C'est un patient âgé de 67 ans consultant pour une perte de poids de 8 kg et une douleur épigastrique depuis 7jours avec apparition d'ictère. Les analyses de laboratoire ont montré une bilirubine à 13 et des phosphatases alcalines à 420. Regardez les images échographiques.



Click on the image below
Cliquez sur les images en bas




























Scan 1: In the head of the pancreas, a homogeneously hypoechoic mass measuring 16 mm transaxially and 13 mm anteroposteriorly is identified . The mass is directly anterior to the splenic vein-portal vein confluence.
Scan 2: the pancreatic duct (denoted by dots) is very prominent, measuring 7.7 mm in diameter, obstructed by the mass.
Scan 3: Dilated intrahepatic ducts.
Scan 4: Enlarged Duodenum.

All of these findings are most consistent with pancreatic carcinoma.(Confirmed by percutaneous guided biopsy.)


Cliché1: Dans la tête du pancréas, une masse hyoéchogène homogène mesurant 16 mm transversalement et 13 mm en antéro-postérieur est identifiée. La masse est en avant du confluent veineux porto-splénique.
Cliché 2: le canal pancréatique (dénoté par des points) est très dilaté, mesurant 7,7 mm de diamètre, obstrué par la masse. Cliché 3: les canaux biliaires intra-hépatiques sont dilatés.
Cliché 4: Duodénum de lutte.

Tous ces clichés sont très évocateurs de carcinome pancréatique (confirmé par une biopsie percutanée).




Carcinoma of the head of the pancreas Carcinome de la tête du pancréas _______


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