Document Detail

Extrahepatic biliary obstruction by lymphoma.
MedLine Citation:
PMID:  2241566     Owner:  NLM     Status:  MEDLINE    
Extrinsic compression of the common bile duct by enlarged lymph nodes is an unusual cause of obstructive jaundice. We describe two patients with such a manifestation of lymphoma and the use of endoscopic retrograde cholangiopancreatography in distinguishing this rare complication from other causes of jaundice in lymphoma. Patients may have rapid resolution of both symptoms and biochemical abnormalities by nonoperative biliary bypass combined with chemotherapy and/or radiotherapy. Lymphomatous obstruction should be considered a cause of potentially treatable jaundice in patients with known lymphoma; endoscopic retrograde cholangiopancreatography can be valuable as a diagnostic and therapeutic tool.
E Feller; F J Schiffman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  125     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1990-12-12     Completed Date:  1990-12-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1507-9     Citation Subset:  AIM; IM    
Department of Medicine, Miriam Hospital/Brown University, Providence, RI 02906.
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MeSH Terms
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde
Cholestasis, Extrahepatic / etiology*,  radiography
Lymphoma / complications*
Middle Aged

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