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Case of the week: GOO Dr. Mohamed Shekhani .

Git case of the week4212

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Page 1: Git case of the week4212

Case of the week:GOO

Dr. Mohamed Shekhani.

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History:

• 43 years old Arabic woman presented with dyspesia, vomiting & weight loss for the last month.

• O/E: evident weight loss, no pallor or jaundice, no LAD, No clubbing, normal chest & heart & abdomen soft with no organomegaly.

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Diagnosis:

• Pancreatic head cancer.• Sent to surgeon for bypass surgery &

histological diagnosis.

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Lessons:

• Dyspepsia with alarm features as anorexia,weight loss,anemia, H/M, >45 is indication for endoscopy.

• If you don’t find a clear upper GIT pathology explaining the symptoms we should think of pancreatobiliary pathology& send for appropriate imaging.

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Another case:

• Elderly woman with epigastric pain,anorexia,weight loss.

• OGD normal.

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EUS:

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Encroaching (to advance beyond proper or former limits: desert encroaching upon grassland) on the portal vein making

it inoperable:

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60 years old female with DM,presented with dyspepsia,anorexia, weight loss

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EMR done: ulcer after the EMR

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After ulcer healing: remnant lesion

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After ulcer healing: remnant lesion

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After ulcer healing: remnant lesion

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After ulcer healing: remnant lesionnew biopsies taken; further actions?


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