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Carcinoma Of The Ampulla Of Vater

Morley, J. 1947Other/Unknown

British Journal of Surgery 35: 1947; 146-151

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Abstract

Follow-up by computed tomography (CT) was quite useful in a woman with an oral contraceptiveassociated benign hepatic cell adenoma. Follow up by CT without therapy (except to stop the oral contraceptives) was sufficient to show spontaneous regression of the lesion.

Case Details

Personal Characteristics

A woman, aged 48

Clinical Characteristics

Deep jaundice of a few weeks’ standing, severe pruritus, and a palpably enlarged gallbladder

Remission Characteristics

I could no longer feel the growth at the ampulla

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Cholecystogastrostomy was done to relieve her jaundice, and two months later, when her condition had improved greatly, i decided to attempt a transduodenal resection of the growth

Additional Notes

The patient remained in good health for some ten years after the operation, and then died of coronary thrombosis in 1944, twenty years after operation, with no evidence of recurrence