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Dissemination of pancreatic carcinoma following endoscopic sphincterotomy
Authors:JG Studley  AR Sami  RC Williamson
Affiliation:Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London.
Abstract:Endoscopic sphincterotomy (ES) is sometimes advocated for the temporary decompression of an obstructed bile duct by a periampullary tumor. We report a 27-year-old woman with a small carcinoma of the pancreatic head who developed acute pancreatitis and a pseudocyst following ES. At operation, malignant spread was virtually confined to the walls of the resolving pseudocyst cavity. Despite radical resection, she died from recurrent carcinoma 7 months postoperatively.
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