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Uterine cancer presenting as obstructive jaundice.

Manuel V, Rocha E, Fortini G, Pascoal Z, Netto R, Rengel L, Birolini C, Utiyama EM - Int J Womens Health (2016)

Bottom Line: Obstructive jaundice as an initial manifestation of uterine cancer is extremely rare.We present a case of a 72-year-old female who presented with obstructive jaundice, supposedly for pancreatic cancer.This case highlights the importance of including uterine cancer in the differential diagnosis of woman presenting with obstructive jaundice, even though it is very rare.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Trauma Surgery, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil.

ABSTRACT
Obstructive jaundice as an initial manifestation of uterine cancer is extremely rare. We present a case of a 72-year-old female who presented with obstructive jaundice, supposedly for pancreatic cancer. After detailed diagnostic investigation, the cause of the jaundice was attributed to a metastatic compression of the common bile duct, from the primary neoplasm of the uterus. This case highlights the importance of including uterine cancer in the differential diagnosis of woman presenting with obstructive jaundice, even though it is very rare.

No MeSH data available.


Related in: MedlinePlus

Abdominal and pelvis computed tomography scans.Notes: (A) Gallbladder (GB) distention and retropancreatic and periaortic images suggestive of lymphadenopathies (star). (B) Choledochal dilation (arrow). (C) Bilateral hydronefrosis (stars). (D) A solid mass of the cervix suggesting a primary cancer (star), and a cystic formation with hypodense content matching with distended uterine cavity. Bladder (Bl) imaging.
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f1-ijwh-8-261: Abdominal and pelvis computed tomography scans.Notes: (A) Gallbladder (GB) distention and retropancreatic and periaortic images suggestive of lymphadenopathies (star). (B) Choledochal dilation (arrow). (C) Bilateral hydronefrosis (stars). (D) A solid mass of the cervix suggesting a primary cancer (star), and a cystic formation with hypodense content matching with distended uterine cavity. Bladder (Bl) imaging.

Mentions: Abdominal and pelvis computed tomography (CT) scan revealed retropancreatic and periaortic images suggestive of lymphadenomegaly involving the distal choledocus (Figure 1A and B). A solid mass in the uterus cervix without cleavage plane with the posterior wall of the bladder was also observed. This tumor was involving the distal ureters resulting in bilateral hydronefrosis (Figure 1C). A cystic formation with hypodense content matching with distended uterine cavity containing mucus/old hematic material, causing displacement of the bladder, and compression on the upper rectum and distal sigmoid (Figure 1D), was also noted. There was no evidence of peritoneal carcinomatosis or involvement of other organs.


Uterine cancer presenting as obstructive jaundice.

Manuel V, Rocha E, Fortini G, Pascoal Z, Netto R, Rengel L, Birolini C, Utiyama EM - Int J Womens Health (2016)

Abdominal and pelvis computed tomography scans.Notes: (A) Gallbladder (GB) distention and retropancreatic and periaortic images suggestive of lymphadenopathies (star). (B) Choledochal dilation (arrow). (C) Bilateral hydronefrosis (stars). (D) A solid mass of the cervix suggesting a primary cancer (star), and a cystic formation with hypodense content matching with distended uterine cavity. Bladder (Bl) imaging.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940018&req=5

f1-ijwh-8-261: Abdominal and pelvis computed tomography scans.Notes: (A) Gallbladder (GB) distention and retropancreatic and periaortic images suggestive of lymphadenopathies (star). (B) Choledochal dilation (arrow). (C) Bilateral hydronefrosis (stars). (D) A solid mass of the cervix suggesting a primary cancer (star), and a cystic formation with hypodense content matching with distended uterine cavity. Bladder (Bl) imaging.
Mentions: Abdominal and pelvis computed tomography (CT) scan revealed retropancreatic and periaortic images suggestive of lymphadenomegaly involving the distal choledocus (Figure 1A and B). A solid mass in the uterus cervix without cleavage plane with the posterior wall of the bladder was also observed. This tumor was involving the distal ureters resulting in bilateral hydronefrosis (Figure 1C). A cystic formation with hypodense content matching with distended uterine cavity containing mucus/old hematic material, causing displacement of the bladder, and compression on the upper rectum and distal sigmoid (Figure 1D), was also noted. There was no evidence of peritoneal carcinomatosis or involvement of other organs.

Bottom Line: Obstructive jaundice as an initial manifestation of uterine cancer is extremely rare.We present a case of a 72-year-old female who presented with obstructive jaundice, supposedly for pancreatic cancer.This case highlights the importance of including uterine cancer in the differential diagnosis of woman presenting with obstructive jaundice, even though it is very rare.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Trauma Surgery, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil.

ABSTRACT
Obstructive jaundice as an initial manifestation of uterine cancer is extremely rare. We present a case of a 72-year-old female who presented with obstructive jaundice, supposedly for pancreatic cancer. After detailed diagnostic investigation, the cause of the jaundice was attributed to a metastatic compression of the common bile duct, from the primary neoplasm of the uterus. This case highlights the importance of including uterine cancer in the differential diagnosis of woman presenting with obstructive jaundice, even though it is very rare.

No MeSH data available.


Related in: MedlinePlus