文章基本信息

标题：A Case Report On Obstructive Jaundice With Periampullary Adenocarcinoma And Cholangitis
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作者：Sanjana Sontakke ; Pallavi Dhole ; Aniket Pathade 等
期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：5
页码：4495-4498
DOI：10.9756/INTJECSE/V14I5.535
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：Introduction:Obstructive jaundice is one of the most typical clinical signs caused by inflammation, gallstones or tumours of the periampullary region. Painless and progressive rise of serum bilirubin, is mostly attributed to tumorigenic entities, rather than inflammatory process. Case presentation: A 48 -year-old- male admitted in Tertiary care hospital Wardha,at surgery ward. With the complaints of pain in the right upper abdomen, yellowish discolouration of urine, fever since 1month and nausea, vomiting since 15 days and loss of appetite . his relatives went to the hospital for further treatment. No history of hematemesis, loss of consciousness. No history of trauma. Previous treatment, no prior hospitalization. There was no associated illness were present like Diabetes mellitus, tuberculosis, and thyroid disorder. No any significant past history. Physical examination and systemic examination was done. In respiratory system: bilateral clear, cardiovascular: heart sound was normal, central nervous system: conscious and oriented, abdominal examination: upper abdomen tenderness present. no lymphadenopathy, pupil examination showed equal and pale conjunctiva, sclera looked jaundice.Bowel sound were present. No any abnormality detected in musculoskeletal system. Therapeutic management: Patient was admitted to surgery ward for conservative management. All the routine investigation done. Total bilirubin of 3.0 mg/dl , direct bilirubin, 2.5 mg/dl . The patient had been investigations for example, blood test, kidney &liver function test,Physical examination, X-ray, Imaging test such as CT scan, MRI, ultrasonography, endoscopy should be performed.(ERCP)endoscopic retrograde cholangiopancreatography and stenting this procedure surgeon will performed before surgery. ECG which was normal. Patient was started on antibiotics, analgesic, antacid, analgesic, vit K, and another supportive medication. surgery opinion was taken SOS in emergency. Surgery opinion was taken and patient was advised for conservative management. Conclusion: due to conservative management and quality nursing care patient condition was stable and had no active complaints at present hence patient is being discharged.
关键词：Obstructive Jaundice;Periampullary Adenocarcinoma