RT Journal Article
T1 "White bile" as a result of a malignant bile obstruction.
A1 Pérez Moyano, Sara
A1 Arranz Solana, César
A1 Guilarte López-Mañas, Julio
AB An 87-year-old female was admitted for endoscopic retrograde cholangiopancreatography (ERCP) due to obstructive jaundice. On admission, total bilirubin was 15 mg/dl at the expense of direct bilirubin, GOT 356 U/l mg/dl, GPT 174 U/l, FA 2,358 U/l and GGT 1,089 U/l. The ERCP showed a prominent, irregular, non-cannulable papilla, so a fistulotomy was performed, emitting a clear, non-mucous fluid. Biliary localization was verified after inserting the guidewire. Cholangiography showed dilatation of the intra-extra hepatic bile duct (common bile duct 18-20 mm). An uncoated metal prosthesis was implanted and a biopsy was performed, confirming papillary adenocarcinoma.
SN 1130-0108
YR 2022
FD 2022
LK http://hdl.handle.net/10668/21708
UL http://hdl.handle.net/10668/21708
LA en
DS RISalud
RD Apr 6, 2025