Obstructive Jaundice as the Initial Manifestation of Gastric Adenocarcinoma
CUREUS JOURNAL OF MEDICAL SCIENCE(2022)
Abstract
A 52-year-old female presented with epigastric pain, yellowing of the sclera, and vomiting for three weeks. Laboratory investigations revealed markedly elevated serum bilirubin and alkaline phosphatase levels, accompanied by a modest rise in transaminases. A clinical diagnosis of obstructive jaundice was established. Ultrasound of the abdomen depicted a mass in the region of the head of the pancreas. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an infiltrative gastric mass spreading across the gastroduodenal junction and involving the ampulla of Vater. Owing to comorbid conditions and widespread lymphadenopathy, a palliative gastrojejunostomy with excision biopsy was performed. Histopathology confirmed an undifferentiated gastric adenocarcinoma.
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Key words
contrast-enhanced computed tomography (cect),spread across the gastroduodenal junction,malignant biliary obstruction,jaundice cholestatic,carcinoma stomach
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